USC Graduate and Professional Student Senate (GPSS)

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GPSS ONLINE BUDGET PROPOSAL FORM

Please read the GPSS Funding Policies BEFORE completing this form. If you have any questions or comments, please contact us at 213.740.5649 or via email at gpssfund@usc.edu or brass@usc.edu.

GENERAL INFORMATION

USC Recognized Organization Name (a):

Campus Address:

Phone #::

* (i.e. 213-555-5555)

Contact Person:

Contact Email:

* (i.e. tommy@usc.edu)

USC Recognized Organization Name (b):

Campus Address:

Phone #::

(i.e. 213-555-5555)

Contact Person:

Contact Email:

(i.e. tommy@usc.edu)

FUNDING INFORMATION/SOURCE & AMOUNT REQUESTED

Allow 3 weeks for requests of less than $1,000 and 5 weeks for requests of more than $1,000. Please attach all supporting information to this form.

Organization Account:

$ (i.e. 1000)

Undergraduate Program Board:

$ (i.e. 1000)

Joint Programming:

$ (i.e. 1000)

Discretionary Fund:

$ (i.e. 1000)

Volunteer:

$ (i.e. 1000)

Sustainability Fund

$ (i.e. 1000)

Committee Support:

$ (i.e. 1000)

CO-SPONSORSHIP INFORMATION

Graduate Umbrella Organizations must provide sponsorship for events when requesting Discretionary, Joint Programming, or Volunteer funds.

Organization Name:	Amount of Sponsorship:	$
Organization Name:	Amount of Sponsorship:	$
Organization Name:	Amount of Sponsorship:	$
Organization Name:	Amount of Sponsorship:	$

Date Funds Needed By: (i.e. MM/DD/YYYY...do not write ASAP)

EVENT INFORMATION

Event Title/Theme:

Event Location:

Event Date(s):

*(i.e. MM/DD/YYYY)

Event Time:

* (i.e. 2:00pm -5:00pm)

Is Alcohol being served?

Yes No
(If yes and the event is on USC's Campus, then an Alcohol Policy is required. If the event is off Campus, NO policy is required).

Is a USC employee being paid for services?

Yes No

Expected Attendance:

* (i.e. 500)

Percentage Graduate:

* (i.e. 50%)

*Provide a brief description of the event including agenda, promotional plans, and benefit for Graduate Students/USC Community:

LINE ITEM BUDGET INFORMATION

Provide a COMPLETE itemized budget for the event. Clearly label the expenses for which GPSS funding will be used. Provide additional comments below if necessary.

Description of Expense	Amount	Source of Funding	USC Vendor Name & Code
	$
	$
	$
	$
	$
	$
	$
	$
*Total:	$

Total Requested from GPSS:

$ *