Forms

Request for Funds

Fields Marked with a * are required to submit your Fund Request.

SECTION 1: PAYEE INFORMATION
   
* Check Amount:
* Payable To (payee):
(payee=business,individual,student/staff name, Univ. Svcs.)
   NSU ID:(if applicable)
   NSU Email Address:
* Phone:
   Fax:
* Mailing Address:
* City:
* State:
* Zip:
   
SECTION 2: PAYMENT INFORMATION
   
* Delivery Information:
   
SECTION 3: EVENT INFORMATION
   
* Event Name:
(As stated in budget)
* Event Date: calendar (Register your events on the calendar)
* Fund: Organization Amount:
SGA Amount:
PanSGA Amount:
* Description of Purchase:

(supplies, decorations, food, etc.) Submit detailed original receipts
 
SECTION 4: COLLEGE AND ORGANIZATION INFORMATION
   
* Organization Name: (DO NOT USE ACRONYMS)
* Select Affiliation:
* Preparer Name:
(This individual will be contacted if additional Info, is needed.)
* Day Number:
   Cell Phone:
* NSU Email:
   
SECTION 5: CLUB/ORGANIZATION AUTHORIZATION
   
* Treasurer Name:
* Treasurer NSU Email:
* Advisor Name:
* Advisor NSU Email:
   

  

Please Note: For a faster reimbursement/payment, scan receipts and email with confirmation number to studentactivityfee@nova.edu. Please make sure receipts are clear and fully legible when scanned. Poor quality receipts will be denied and request for funds will be delayed. Also note that under school policy, estimates, quotes, or statements are not acceptable. Students must provide an INVOICE for vendor payment, itemized receipts (it is a detailed list indicating what was purchased), proof of payment (receipts showing credit card or cash payment, credit card statement, and/or canceled check) and list of attendees if you dine outside the University. For a donation, a letter of intent and W-9 is required for processing.

See Check Request Requirement List for more information.

Note: If processing more than one "Request For Funds Form", DO NOT USE THE BACK KEY. Using the back key produces duplicate confirmation numbers and errors. Please select the reset key if processing numerous forms