Recognized Student Organization Requesting Assistance

Recognized Student Organization Requesting Assistance: Group Recycling and Sustainable Solutions Name of Event: Monthly Movie Night Type of Event: Educational Movies Priority #: Date and Time of Event: March, April 2012 Location of Event: Chao Auditorium How Many Students do you Anticipate Attending this Event: 30 each Target Audience: All students Has This Event Been Held by your Organization Before: No If Yes - When and How Many People Attended: How Much Money Will be Provided by Fundraising for This Event: 0 Is there a charge for students to attend No If so, how much are you charging? How Much Money Will be Provided by Organizational Funds for This Event: 0 Have you Requested Funding from Other Departments or Funding Sources? If so, please list the source and the amount received or requested : TOTAL FUNDING REQUESTED FROM CLUB PROGRAMMING: $ $300 Detailed Explanation : We plan to hold monthly movies in the Chao Auditorium that will educate students on issues related to sustainability. I Understand and Agree Agree Applicant Signature Tim Darst Date: Mar 08, 2012 Contact Person: Tim Darst Contact Phone Number: 5024598708 Contact EMAIL Address: [email protected] Sponsor's EMAIL Address [email protected] Check Here - to confirm that a detailed budget was included. 1

Group Recycling and Sustainable Solutions Monthly Movie Night Spring 2012

Licensing fees to $ filmmakers/producers 250.00 $ Printing for promotional posters 25.00 $ Other supplies, refreshments, etc. 25.00

$ 300.00