Associated Student Government

2013-2014 Allocation Request Form

Contact Juan Rosales ASG Fiscal Affairs Chair, ASG VP Stuart Sneath or ASG President Brooke Schmidt for any questions, comments or concerns!

Name of Organization:
President/Chair's Name
Advisor's Name
Advisor's Email
Contact Person
Contact Email
Total Number of Members
Dues Per Member
Will your org. be attending a National Conference during the 2013-2014 school year?: Yes No
Date of Conference
Location of Conference
Number Attending Conference
Vehicle Type: Private Car $.51 per mile ESU Car (1-5) $.51 per mile ESU Mini Van (5-7) $.61 per mile ESU 12 Person Van (7-12) $.70 per mile
Total Vehicle Cost
Airfare: Yes No
Total Airfare Price
Total Transportation Request
Lodging: Yes No
Room Rate
Number of Nights
Number of Rooms
Total Lodging Request
Registration: Yes No
Registration Per Person Cost
Total Registration Cost
Total National Conference Request
Regional Conference: Yes No
Dates of Conference
Location of Conference
Number Attending Conference
Vehicle Type: Private Car $.51 per mile ESU Car (1-5) $.51 per mile ESU Mini Van (5-7) $.61 per mile ESU 12 Person Van (7-12) $.70 per mile
Total Vehicle Cost
Airfare: Yes No
Total Airfare Price
Total Transportation Request
Lodging: Yes No
Room Rates
Number of Nights
Total Loadging Request
Registration: Yes No
Registration Per Person Cost
Total Registration Cost
Total Regional Conference Request
Speaker(s): Yes No
Name of Speaker(s)
Aproximate Date of Speaker
Aproximate Date of Speaker
Cost of Speaker
Printing and Plublicity: Yes No
Event(s)
Type of Plublicity
Cost of Printing and Plublicity
Aproximate Date of Event
Aproximate Dates
National Conference Total
Regional Conference Total
Printing & Plublicity Total
Total Allocation Request