SGA Appropriations Application

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Requestor's First Name*

Requestor's Last Name*

Delgado Email*

Organization or Department*

Campus* Please Select City Park Campus West Bank Campus Charity School of Nursing Sidney Collier Site Jefferson Site

Date Funds are Needed*

What are you requesting? Please be specific.*Provide an itemized listing of requested items. Must include vendor. (Ex. 1 pack of yellow certificate paper from Staples, cost $15; 3 Delgado coffee cups from the bookstore, cost $30; 1 pan of jambalaya from Herb's Catering, cost $55.

Total value of request. *Ex. $100 total for items listed above.

What is your department or organization contributing? Please be specific.*Ex. XYZ club is contributing a $100 cake; our department is providing all copies, advertising, staffing, and event content.

How will this event benefit the student body?*

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