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LSPO Funding Request Form
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* Indicates required question
Email
*
Your email
Your Name
*
Your answer
Organization & Position Submitting Request/Proposal
*
Your answer
Phone
*
Your answer
Description of Items to be Funded:
*
Your answer
Amount of Funding Requested:
Please Itemize
Your answer
Number of Students/Staff Involved
Your answer
Other Sources of Funding being Procured:
Please Itemize
Your answer
Fundraising request concerns an event
Location of Event
Your answer
Name of Department Head or Athletic Club Director who has Signed off on this Request
Your answer
Please Indicate the Date the Event was Approved
Your answer
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