Free Liability and Waiver Forms

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					                                             BUDGET REQUEST FORM
                                             Organization Information Page
                                                      2007-2008
GENERAL INFORMATION
Organization Name::                       SPARC- Alternative Spring Break

Appropriated Account #:                   17-50-02
Checking Account #:                       37-50-02

Name and Title of Person Preparing Budget:                         Robert Denninger, Director of Finance
Contact e-mail:                      rdenning@smu.edu
Contact phone:                       469-995-0355

MEMBERSHIP
On Campus:                                                          Off Campus:
Undergraduate:                            300                       Graduate:
                                                                    Community:

Total Membership:                         300

FINANCE INFORMATION
Purpose and Goals of the Organization:                      Our Mission: SPARC fosters the development of socially
conscious citizens and a relationship with their communities through education, action, and reflection.
Alternative Spring Break provides an opportunity for SMU students to interact with social issues around the
country in a substance free atmosphere.
The Mission of Alternative Spring Break is the unify the SMU community by providing multiple service-learning
opportunities that affect change across the world without overlooking the impact one person can have on the
lives of others in just one week.
Does your Group Maintain a Checking Account?                              YES                 NO
If YES, Amount in Checking:                 1000

What is the source of these funds?
We accepted deposits from individual participants.



Does the group get financial support from other sources?                           YES                  NO

How much and what is the source?          Fundraising. This includes donut sales, spaghetti dinner, and Two Rows restaurant
donation night.

Does the group collect dues from the members?                                      YES                  NO

If YES, how much and how often?
What are dues used for?



PROGRAM PRIORITY
Indicate Programs In Priority Order
1 Alternative Spring Break Programming
2 ASB Public Relations
3 ASB Supplies & Operations
4
5
6
7
8
                                                       2007-2008 Budget Request Form:
                                                            Program Breakdown Form
Name of Program: Alternative Spring Break Programming                                         Semester of Program:       Spring
Program Description: Places teams of college students in different locations around the       Last Year's Attendance: 40
                    U.S. to engage in community service and experiential learning.            This Year: 50
New Program? (Y/N):                  N                   Admission Charge:

 Line Item Number     Brief Description of Expenditure        How much did      Amount          COMMITTEE USE
                                                               you spend in   Requested for    Allocated Comment
                                                                2006-2007?     2007-2008?
                      Transportation: CAPPS van rental
       7500                                                      2,000.00        1,000.00        1,000.00
                           @ $1000/van x 3 vans
                      SAC van rental: 9 days @ $35/day
       7500                                                        0.00           630.00           630.00
                                 for two vans
       7500              Gas ($380 per trip) x 4 trips           1,520.00        1,250.00        1,250.00
       7500            Site Fees: 5 sites ranging in price       5,250.00        4,000.00        3,000.00      d
       7500                          Food                        4,000.00          0.00              0.00      lp
       7500                        Supplies                       650.00          400.00             0.00      lp
                      Airfare support for one trip to west
       7500                                                      2,600.00        1,600.00            0.00      lp
                           coast ($260/participant)
       7700                Breakaway Membership                   500.00          500.00           500.00
                       Breakaway National "Alternative
       7700          Break Citizenshop School" (ABC's)            800.00          800.00           800.00
                              @ $400/participant
                     Travel to Breakaway National ABC's
       7700                                                       600.00          600.00           600.00
                                   2 x $300

                                  TOTAL                    17,920.00             10,780.00     7,780.00
                     Line Item Key
                     7100- General Supplies                                   7600- Salaries/Miscellaneous
                     7200- Communication/Advertising/Promotion                7700- Conferences/Dues Payment
                     7500- Programming


                                                             Page 5 of 13
                                                       2007-2008 Budget Request Form:
                                                           Program Breakdown Form
Name of Program:     Alternative Spring Break Public Relations                               Semester of Program:      Spring
Program Description: Public Relations expenses to support Alternative Spring Break programs operations. Attendance: 40
                                                                                             Last Year's
                                                                                             This Year: 50
New Program? (Y/N):                   N                 Admission Charge:

 Line Item Number     Brief Description of Expenditure How much did you       Amount          COMMITTEE USE
                                                          spend in 2006-    Requested for    Allocated Comment
                                                              2007?          2007-2008?
                     50 11 x 17 color recruitment posters
        7200                                                  175.00            175.00             50.00     d
                                 @ $1 each
        7200              42 stake signs @ $.50 each              21.00          0.00               0.00     lp
        7200          Supplies for RLSH bulletin board           120.00         120.00              0.00     lp
        7200                  Advertising Video                   20.00          20.00              0.00     lp

        7200          Promotional Flyers for Recruitment          7.00           7.00               0.00     lp

                                  TOTAL                      343.00             322.00         50.00
                     Line Item Key
                     7100- General Supplies                                7600- Salaries/Miscellaneous
                     7200- Communication/Advertising/Promotion             7700- Conferences/Dues Payment
                     7500- Programming

                                                           Page 4 of 13
                                                     2007-2008 Budget Request Form:
                                                         Program Breakdown Form
Name of Program:     Alternative Spring Break Supplies and Operations                    Semester of Program:       Spring
Program Description: Supplies and communication expenses to support Alternative Spring   Last Year's Attendance: 40
                     Break Program operations.                                           This Year: 50
New Program? (Y/N):                  N                  Admission Charge:

 Line Item Number    Brief Description of Expenditure How much did you    Amount            COMMITTEE USE
                                                         spend in 2006- Requested for      Allocated Comment
                                                             2007?       2007-2008?
                     Required Liability Waiver Forms for
                     all SMU ASB participants (75 x .11      $16.50        $13.20           $13.20
        7100                     x 3 pages)
                       500 @ $.07 (agendas, trainings,
        7100                                                 $35.00        $35.00            $0.00
                                applications
                      Health Insurance Required For All
        7600                                                   $500.00        $250.00       $250.00
                               ASB Participants

                                  TOTAL                      551.50           298.20        263.20
                     Line Item Key
                     7100- General Supplies                               7600- Salaries/Miscellaneous
                     7200- Communication/Advertising/Promotion            7700- Conferences/Dues Payment
                     7500- Programming


                                                          Page 6 of 13
                        2007-2008 BUDGET SUMMARY

                                     Amount              Allocation
  Program Page Requests                                (Committee Use
                                    Requested
                                                           Only)

Program 1                             $322.00               $50.00


Program 2                           $10,780.00            $7,780.00


Program 3                             $298.20              $263.20


TOTAL                               $11,400.20            $8,093.20


The                        SPARC                      (name of group) has applied for Students’ Association
funds for the cumulative school year. In requesting these funds, the above named
their predecessors and successors in interest (hereafter referred to as “we”) agree to abide by all restrictions and
and requirements placed on them by the Students’ Association and the Appropriations Committee. Should the
organization receive funding, we realize that we will be held responsible for spending our allocation in accordance with
the intent in which it as appropriated. We understand that our failure to follow these or any additional restrictions,
requirements or regulations promulgated by the Students’ Association or the Appropriations Committee, our
organization may lose its funding and assured liability for any and all of its expenditures, regardless of whether the
Students’ Association has paid. In signing this, we further assert that our organization holds no outside bank account
and retains all of the organization’s funds with the Student Associations’ Comptroller’s Office.

                   President: Katie White
                   Treasurer: Robert Denninger

Final Notes: Please make sure that you have saved this file as "INITIALS.xls", where initials are 3 or 4
letters that abbreviate your organization. Turn in this file by email to studentsenate@smu.edu,
by Wednesday, January 31st, at 5:00 PM.

Copies: You must ALSO turn in four paper copies, three hole punched and stapled in the upper left corner, to the
Comptroller's Offce in the Student Activity Center (Hughes Trigg) by the same deadline. Failure to follow any of the
procedures listed here or in the instructions could result in a percentage deduction from your 06-07 budget.

If you have any questions during the budget process, contact Micah Nerio, Finance Chair, studentsenate@smu.edu.

				
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