LOV MENTOR-MENTEE OUTING FUND REQUEST
Please complete this form for approval 4 weeks ahead of time. All forms will be submitted to Ashley Hucksold (ahucksold@lovchicago.com) for approval. All request should be for $50 or less. Funds can be requested once per program year on a first come first serve basis until funds are depleted.
Mentor Name:
Your answer
Mentee Name:
Your answer
Mentor Contact Information:
Please enter email address or phone number:
Your answer
Date of Submission:
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YYYY
Date of Outing:
MM
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DD
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YYYY
Amount Requested:
Your answer
Please explain what the funds will be used for:
Your answer
Chase QuickPay/Zelle Email:
Your answer
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