Student Organization/Club Activity list & Budget Proposal

Transcription

1 Student Organization/Club Activity list & Budget Proposal Each organization or club should work together with its membership to identify activities they plan to organize, participant in, and/or host this school year. First, please list your organization or club s major events, such as hosting regional meetings, conferences, or dinners, or participation in other large events that require special budgetary allocation. Please provide a budget proposal for each activity, which specifically delineates how the money will be allocated on a separate document. Next, please list any additional activities (non-major) your organization or club plans to engage in. Please provide a budget proposal for each activity where funding is being requested, which specifically addresses how the money will be allocated on a separate document. When listing each activity, please identify if students will have the opportunity to demonstrate their level of proficiency in one or more co-curricular learning outcomes (Appendix A). If so, please describe how the activity will provide the opportunity for students to meet one or more co-curricular learning outcomes. Finally, please attach a document listing all of the members of your club and/or organization and the expected year of graduation for each member. Please complete this form and submit it to Ms. Imani Grant (igrant@cnsu.edu) and Dr. Tiffany-Jade Kreys (tkreys@cnsu.edu) in the Office of Student Affairs and Admissions by April 12, 2018 Date: Name and Role of Student Completing the Form or Point of Contact (include address): Organization or Club Name: Organization or Club Initiatives/Areas of Focus/Mission: Faculty Advisor(s):

2 Board Members (please include student name and anticipated year of graduation for each member) President: Treasurer: Vice President: President Elect: Historian: Secretary: Please complete the table(s) below for any major event(s) your organization or club plans to engage in this school year. If you are requesting funding for an event, please provide a separate document that specifically describes how the money will be allocated. Anticipated MAJOR Event and Fees for Academic Year Please select which co-curricular learning outcome(s) may be assessed through this activity and describe how the activity applies to the selected learning outcome(s). Select all that apply.

3 Anticipated MAJOR Event and Fees for Academic Year

4 Please complete the table(s) below for any additional activities (non-major) your organization or club plans to engage in this school year. If you are requesting funding for an activity or event, please provide a separate document that specifically describes how the money will be allocated. Anticipated Event (non-major) and Fees for Academic Year

5 Anticipated Event (non-major) and Fees for Academic Year

6 Anticipated Event (non-major) and Fees for Academic Year *** Please remember to submit a budget proposal for each event where funding is requested. Also, provide a document listing each member of your club or organization and their anticipated year of graduation***

7 Signature of Student Completing Form: Advisor Signature: Date: Notes from Dean of College of Pharmacy/Assistant Dean of Student Affairs & Admissions: Assistant Dean of Student Affairs Signature: Dean of College of Pharmacy Signature: Date: Date: FOR OFFICE USE ONLY Additional documents or information needed from organization/club: