Penn State Abington

Student Activity Fee (SAF) Request Form 2012 - 2013

The SAF Committee welcomes all proposals and reserves the right to reject any proposal that leaves any of the fields empty or incomplete.

Fields designated with asterisk are required to ensure the best possible distribution of Student Activity Fee funds.

Questions?

Marci Delia

215-881-7507

mcd9 [at] psu [dot] edu

Gina Kaufman

215-881-7510

gxd22 [at] psu [dot] edu

Name of individual/organization submitting request: *

Proposed activity: *

Total amount requested: * $

Funding requested for (check all that apply): *

Spring 2013

Fall 2013

Spring 2014

Entire academic year

If request is for a specific event, please indicate

date of event:

funds needed by:

A student requesting SAF funds must have a staff or faculty contact person.

contact:

title:

email:

phone:

Please provide as much information as possible to permit SAF Committee to understand and review proposal.

describe proposed program/activity: *

how will this program address the needs of our campus, enhance student life, encourage involvement or build community?: *

how will this program enhance out-of-class experience of students?: *

how many students are expected to participate?: *

SAF programs must be open to all students. Will this program be open to all students?: *

yes

Itemized listing of projected expenses and income: *

Has this program been offered before?: *

yes

If yes, approx. attendance from past year::