Department of Intercollegiate Athletics 

FUNDRAISING REQUEST FORM

Prior Approval:  Please follow all Department of Intercollegiate Athletics guidelines by completing the form below.  Submit this completed form to your sport supervisor.

Purpose of activity: 											

Type of function:											

Date(s) of function:											

Any sponsorship agreements anticipated?    No      Yes

With whom?											

What type?											

	Any awards?    No      Yes, List awards								

	Concession arrangements:    No      Yes,  Explain completely

														

	Medical staff required?    No      Yes,  What provisions are made?

	Insurance policy coverage necessary?    No      Yes, Explain what is planned:

	Student-athletes will NOT miss class for this activity:    Yes, this is correct.

	Include with this form the following items:
a.	Advertising brochures, fliers, etc.
b.	Budget, following guidelines 
c.	List of all personnel involved in the event.
d.	List of student-athletes involved for permission from Director of Athletics.