Request for Funds

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

SECTION 1: PAYEE INFORMATION
   
* Check Amount:
* Date Needed:
 calendar (Submit 5 to 10 business days before needed)
* 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
   
* Payment Type:  
Purchase Order
Prepay Purchase Order
Check Request
Stipend
University Service (Current Newspaper, Radio X, ARAMARK, Einstein’s, Student Union, NSU Bookstore, University Travel, Physical Plant, NSU Copy Center)
Expense Report – travel related expenses (forward original completed and signed expense report with original receipts)
   
* Delivery Information:
   
SECTION 3: EVENT INFORMATION
   
* Event Name:
 (As stated in budget)
* Event Date: calendar (Register your events on the S.A.L.D. Calendar)
* Fund: Organization Amount:
SGA Amount:
* Description of Purchase:

 (supplies, decorations, food, etc.) Submit detailed original receipts
  Additional Information:
 
SECTION 4: COLLEGE AND ORGANIZATION INFORMATION
   
* Organization Name: (DO NOT USE ACRONYMS)
* Select Affiliation:
* Preparer Name:
* Day Number:
   Cell Phone:
* NSU Email:
   
SECTION 5: CLUB/ORGANIZATION AUTHORIZATION
   
* Treasurer Name:
* Treasurer NSU Email:
* Advisor Name:
* Advisor NSU Email:
   

  

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.