BERC External Events Funding Program Applicaiton
Last Name
Your answer
First Name
Your answer
UC Berkeley Email Address
Your answer
Event Name
Your answer
Event Date
MM
/
DD
/
YYYY
Please provide a brief description of the event and its relevance to BERC. Include a link to the event if applicable.
Your answer
Please provide the link to your BERC blog post on the event
Your answer
Total Event Costs
Event costs include registration and travel expenses but do not include meals
Your answer
Funding Amount Requested
BERC will reimburse up to 50% of the total event costs for a total $150 per person per semester
Your answer
PayPal Address
All funds will be reimbursed through PayPal
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms