Honors Fee Use Request Form

*Note: All proposals must be submitted at least six weeks in advance of the proposed event or activity*

*Note: Students may not be eligible to receive funding requests if it negatively impacts financial aid*

Good Standing Acknowledgement By checking this box you acknowledge that you understand that the Honors Fee Committee will only consider student requests from those who are active in the Honors Program. For more information on good standing, please visit the Academic Policies & Requirements section of our website under the Current Students tab.

First Name

Last Name

E-Mail Address

Student/Employee ID Number

Primary Phone Number (xxx) xxx-xxxx

Preferred Contact Method If you use another primary form of contact, enter it, but the Honors Fee Committee (HFC) cannot ensure you will receive responses if the medium is not a phone number or email.

Email
Phone
Either
Other

If other, enter here:

Alternative Contact e.g., the RSO coordinator, professor, or other collaborator. Please provide their first and last name as well as university email and phone number, if available.

Name of Activity

Name of Organization Hosting (if applicable)

Brief description of activity (10-20 words) e.g. research project, event, conference, etc.

Date & TIme of Activity

Year/Month/Day Hour:MinuteAM/PM

Location of Activity Please be as specific as possible

Activity Description Provide a detailed description of what you’re requesting funding for, including any details not covered above – list of students if applicable, activity type, projected attendance, etc. All proposals must be submitted at least 6 weeks in advance of the activity. Please keep description to 250 words or less.

Benefit to Honors How does this event benefit the Honors community (students, faculty, staff) and/or your Honors experience?

Funding Are you receiving or requesting any support from other parties? If so, please specify.

Cost to Attend If yes, please list the amount being charged per individual. Also specify if this charge will be taken as a donation or for profit.

Past HFC Funding Have you received funding from the HFC in the current semester or past academic year? If yes, list the date received, amount awarded, and a short description of the funding. (Only list the most recent amount.)

Budget Please upload either the provided budget sheet or one of your own as necessary.

Total Funding Request Please provide the total funding amount requested to the nearest whole number ***Past expenditures cannot be reimbursed***

Additional Supporting Information e.g., a flyer, planning documents, meeting minutes regarding the proposed activity

Dissemination By checking this box you give the HFC permission to share your proposal (e.g., to use as an example, or to show HFC progress). Personal information will be anonymized.

University Honors Program

Honors Fee Use Request Form