Department of Student Life

DEPARTMENT OF STUDENT LIFE - GRANT FORM

Each academic year, The Department of Student Life sets aside a limited amount of funds to support student-run, campus-wide heritage, awareness, and retention-focused events. The goal of this grant is to enhance events that support diversity and inclusivity initiatives at UVM (including awareness months, heritage events, cultural gatherings, and social justice-focused programming), as well as programming that directly supports the University's retention efforts. Priority will be given to events that meet these criteria. After submitting the form, you’ll receive a response within a week from the Student Life team and be invited to meet with a member of our staff to discuss your event. If you have questions, please email slife@uvm.edu.

* - Indicates a required field

Your Name *

UVM E-mail Address *

Phone Number *

UVM Status *

Organization information

Organization / Group Name *

Type *

Organization Website

Organization E-mail *

Organization Chartstring *

Advisor Name *

Advisor E-mail

Advisor Phone Number *

Are you collaborating with any other organizations on this program? If yes, please specify which organization.

Event Information

Event Name *

Date of Event *

Year

Month

Day

Time of Event

Does this Event Span Multiple Days?

Yes |

Location of Event

Does this Event have multiple locations?

Yes |

EMS Reservation ID* *

Event Description

Goals of the Event

Expected Attendance *

Is this event open to all members of the UVM community?

Yes |

Additional Information

Event Budget - Expense Items & Dollar Amounts

Please Itemize your expenses as best as possible - e.g. entertainment, sound, lights, food, decorations, etc.

Total Event Budget $

Event Revenue / Funding

Please list all sources for revenue / funding & dollar amount

Total Event Revenue / Funding $

Total Request for Grant $

If your request is granted, please explain what these funds would be used towards:

NOTE: If your request is approved, you must submit copies of actual expenses (for example: itemized receipts, contracts, invoices, etc.) after your event. If the actual cost of your event is less than the estimated cost, the difference must be returned to the grant. If awarded funds are used inappropriately, those funds must be returned to the grant.

Have you requested supplemental funding from other departments or organizations for this program?* *

Yes |

Do you anticipate receiving additional funding beyond that described above? *

Yes |

If Yes, Please Explain

Have you requested funding in the current academic year? *

Yes |

If Yes, for what program and how much was granted?

Please describe how you plan to make this event environmentally sustainable: *

If there are safety concerns associated with this program, how do you plan to manage the associated risk?

Program Grant Agreement

Should your Program Grant be approved, it will be subject to the following terms and conditions. Please indicate your understanding of the sponsorship agreement by agreeing to the following:

Agreements

I understand that it is my responsibility to keep Student Life informed about programatic changes or developments, as they arise. This includes alerting staff to issues that may impact the feasibility of the event.

The Department of Student Life reserves the right to specify how and where its name and logo will be used in marketing materials. Unused funds, due to overestimation of costs or failure to execute program, will be returned for distribution to other programs.

Failure to adhere to these guidelines can result in forfeiture of 100% of the granted funds and will affect eligibility for future Program Grants.

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