Student Organization Additional Funding Request Form Student Organization Additional Request Form Full Name of Student Organization* Name of Student Applying* Date of Request* Email Address* Type of Request*TravelEventName of Event/Travel Information* Date(s) of Event or Travel* Educational Purpose*Expected number of medical student participants*Expected number of PA student participants*Do you expect Faculty or Staff to participate in this specific event? Yes No Number of Faculty expected*Number of Staff expected*Additional funds requested*Detailed Budget Request*
