Student Vision Fund Proposal Form

Student Name and Organization: (required)

Your Email (required)

Title of Program

Event date:

Event time (start to end):

Expected # of participants:

Program Objectives/Description of Program:

Amount Requesting:

What will the funds be used for? Please list anticipated materials/resources for the program:

How much is currently in your account?:

Account #:

Which initiatives (listed in the mission statement above) do you believe your program embodies?: