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Request for Funding
This form is available to students who wish to request funding for Student Leadership or Neuroscience Program Initiatives
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Email
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Record my email address with my response
What is your full name?
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Your answer
Date of Event
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MM
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DD
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YYYY
Amount of Funding Request
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Your answer
Total Cost for the Event or Activity
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Your answer
Please describe the event or activity for which you are requesting funds.
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Your answer
Send me a copy of my responses.
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