SDI Student Funding Application

SDI Student Mini-Grant Application

Organization Information

Organization Name

Organization Mission

Advisor

Advisor Email

President

President Email

Treasurer

Treasurer Email

Event Proposal

Event Title

Event Date

Event Time

Event Location

Event Description/Purpose of Activity (800 Words Maximum)

Attendance: How Many people do you expect to attend this event? Who is your target audience? How will your organization be advertising this event? Is there an admission fee?

Is this an annual event?

YES

Event Goals

How does this event align with SDI's mission of fostering diversity and inclusion in the Missouri S&T community by providing a welcoming climate for all students; supporting underrepresented students, promoting awareness about female and multicultural related issues, first generation, and low income students from all walks of life through programming, retention, and mentoring initiatives.

Event Schedule

Please provide a general agenda for the event, including time for the set up and clean up. You can also attach supporting document.

Agenda

Performers/Speakers If there are any performers/speakers, please list their name(s), include a bio, and if they have already been confirmed.

Additional information including bio's.

Budget Section

Documentation (estimated cost of travel, estimate of food cost, any confirmed price quotes, etc)

Revenue

Ticket Sales: (Amount and description)

Co-Sponsorships (Organizations) (Amount and Description)

Income (Organization account, gifts, or other)

Total Revenue

Expenses

Performers, speakers, including transportation/lodging fees and honoraria

Technical (Audio/Visual) costs or rentals

Food/Catering

Copies & Printing (flyers, posters, mailings, etc.)

Misc. (please specify)

Total Expenses

TOTAL AMOUNT REQUESTED FROM SDI

What other funding sources are being pursued in support of this event? Please include contact information of each funding source that you will be seeking.

Student Funding Agreement

The following contains important information regarding the funding process, should the Student Diversity Initiatives approve your request.

Funding Notification & Transfer:
- Funded student organizations are required to submit pictures of event and receipts to sdi@mst.edu no more than 2 (two) weeks after the event. Please submit at least two pictures of the event and all receipts associated with the event that were not already included in budget proposal. SDI reserves the right to withhold distribution of funds if the above conditions are not met. Additionally, organizations may lose eligibility for future funding.
- Promotion: If SDI sponsors the proposed event, the organization(s) must list SDI as a (co)-sponsor on event promotion. If SDI is not listed as a co-sponsor on the event publicity, the organization(s) will become ineligible for future SDI funding.

Questions or concerns about your application and funding eligibility may be directed to the SDI office at sdi@mst.edu.

By typing my name below I acknowledge that I have read and agree with the funding guidelines and requirements for receiving funds through SDI and I certify that all information provided is accurate. (signature)

Today's Date

SDI Student Funding Application

Missouri University of Science and Technology

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