Student Organization: * Please use the exact and formal name of your organization (e.g., no abbreviations). Purpose of the Organization: * Contact Information Contact's Name: * Contact's Title (if any) within the Organization, e.g., Treasurer, President: Contact's Local Address: * Contact's Phone: * Contact's UVA Email: * Event Title: * Event Type: * Social Cultural Education or Academic Service Other Event Type: Other Event Description: * Event Date: * Year Year20202021 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Generally, we only accept requests for events that have not yet occurred. Prior approval is required for retroactive requests. Event Time: * Hour Hour123456789101112 : Minute Minute00153045 am pm Event Location: * Event Rain Site (if applicable): Award Requests YTDRead-Only—These fields will pre-populate with your organization's award information year-to-date. Total amount awarded to your Organization YTD: $ Number of Previous Requests YTD: Total Amount You Would Like to Request from VP&CSAO: * $ What is the target audience/who will participate? * How many attendees/participants are expected? * Is your organization a registered CIO? * Yes No Have you sought Student Council appropriations for this event? * Yes No If yes, why request additional funds? If not, please explain why. * Student Council appropriations is the primary fund source for student groups and student events on Grounds. We encourage all student groups to investigate whether Student Council appropriations would be a match for their event before submitting applications to VP&CSAO or other offices. Itemized Budget: * List all projected fund sources and expenses (including funds from other sources, e.g., Student Council, etc.). For details and sample budgets, see Budgeting: A Quick Guide. List of Co-Sponsorships: * Include organizations, if any, and how they will contribute to the event (financially or otherwise). Indicate if each is confirmed, if you have applied and are awaiting a decision, or if you intend to apply. Does this event involve food/meals, performance or service contracts, honoraria, travel, or gifts/awards? Certain restrictions and requirements apply to these and other expenses. See Special Considerations and Restrictions for details. Leave this field blank CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.