Home - Student Supplemental Funding Form

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Funds Disbursal Bursar Approval

Disbursed

Non-disbursable

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Financial Aid Need Assessment

No Need

Low

Medium

High

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Optional: Additional Financial Aid Need Assessment Information

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Final Amount - OP212631 Deans Support

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Final Amount - GF620883 Momentum

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Final Amount - GF620884 Graduation Initatives

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Final Amount - Nondisbursable

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Account Options

OP212631 Deans Support

GF620883 Momentum Fund

GF620884 Deans Fund for Graduation Initiatives

Nondisbursable

Hidden

Nondisbursable Department Support

Select External Department Funders for Records Purposes

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Student Report

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Student Files

Drop files here or

Max. file size: 20 MB.

Applicant Information

Name(Required)

First

Last

UR Student ID Number(Required)

Date of Birth

Phone

Student Email(Required)

CMC Box

Mailing Address (if different)

Mailing address 2

City

State

Zip

International

I am an international student

I am not an international student

Please list any leadership role(s) you currently hold on campus.

Are you applying as a representative of a student group, or as an individual student?

Individual

Representative

Group Information

Undergraduate groups only, if applicable.

What is the name of the group?

How many students plan to participate in this activity?

Is this group an SA-recognized organization?

Yes

View list of SA-recognized organizations on the Campus Community Connection site.

If no, why is your organization ineligible to apply for SAAC funding?

The event or program requires funding for activities that SAAC does not fund

The organization would exceed the number of SAAC funding applications allowed per year.

The organization is not in good standing with the SA

Other

For SA-recognized organizations only

Who is the primary advisor?

SA Primary Advisor's Email

Have you met with your SA advisor regarding this funding request?

Yes

Is this organization eligible to apply for SAAC supplemental funding?

Yes

If eligible, organizations must apply for SAAC supplemental funding before completing this application. Please consult with your SA advisor on this as needed.

SA Supplemental Application

Max. file size: 20 MB.

How much did you apply for?

Why is your organization ineligible to apply for SAAC supplemental funding?

The event or program requires funding for activities that SAAC does not fund

The organization would exceed the number of SAAC funding applications allowed per year.

The organization is not in good standing with the SA

Other

Groups must be eligible to apply for SAAC funding in order to complete this application. Please consult with your SA advisor on this as needed.

Academics

Reminder: this funding is only available for undergraduate students.

Expected Date of Graduation(Required)

Major(s)(Required)

Minor(s)

Cluster(s)

I am currently enrolled in or identify as the following (select all that apply)

If "Other", please state

Funding Information

You are encouraged to review the website and mission statement of the department(s) you select to ensure it aligns with your request.

Which category(s) best identifies the type of request you are making?(Required)

If "Other", please state the category

Select the College department(s) that you believe are most connected to the goals or outcomes of this activity:(Required)

Describe the activity you are seeking funding for and how you will benefit from it:(Required)

Please include weblinks to the activity or event if they are available.

Date of activity:(Required)

What is your total budget for this activity?(Required)

Please list itemized costs. Include name and dollar amount. Click (+) to add as many items as needed:(Required)

Name

US Dollar Amount

Briefly explain how this activity is connected to the selected department(s):(Required)

Have you already received funding for an activity during this academic year?

Yes