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Sabc Application Form

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					                                                                                         Form A




  Fiscal Year 2012 Activity Fee Budget Application                                   SUMMARY:      FORM A
          (Click on the gray area to enter your information)                                                  3 Questions on this page


Organization Name _________________________                      Budget Amount Requested          _________   Must equal "Net Amount Requested"
                                                                                                              at bottom of Form B
                                                        Total number of Active Members
Budget Preparer(s) listed below:

Name       __________________________                        Email:      ___________________________
Office held within Organization (i.e. president, treasurer, advisor):______________________________

Name       __________________________                        Email:      ___________________________
Office held within Organization (i.e. president, treasurer, advisor):______________________________

**********************************************************************************

1. PURPOSE OF ORGANIZATION: Briefly explain the purpose of your organization and how you plan to
   accomplish the purpose and mission of your organization. Explain how your organization impacts the
  MSUM campus and community.
                                                                                                              Click on the yellow rectangle to begin entering info.
                                                                                                              hit"enter" key at the end of the gray area on each line
                                                                                                              to go to the next line in your narrative

                                                                                                              All text should be visible within the gray box
                                                                                                              when you are finished with your narrative.




2. COST CHANGES: What are the reasons for cost differences between your FY11 request and/or allocation this FY12 request
   If you did not receive SABC funds for FY11 do not complete this question.
                                                                                                                                      Click on the yellow rectangle to begin entering info.
                                                                                                                                      hit"enter" key at the end of the gray area on each line
                                                                                                                                      to go to the next line in your narrative


                                                                                                                                      All text should be visible within the gray box
                                                                                                                                      when you are finished with your narrative.




3. ACTIVE AND FISCALLY HEALTHY: Explain how your organization will continue to grow after this
   year and how you will ensure that your organization will spend its budget wisely? (what financial controls
   will you follow?)  What plans/strategies will you use to make sure you keep your members from this year to next year?
                                                                                                                                      Click on the yellow rectangle to begin entering info.
                                                                                                                                      hit"enter" key at the end of the gray area on each line
                                                                                                                                      to go to the next line in your narrative


                                                                                                                                      All text should be visible within the gray box
                                                                                                                                      when you are finished with your narrative.




                                                                                         Page 1
Enter Dollar amounts in column F gray areas only                                                     FORM B        Fiscal Year 2012 Request

       Income                                                 FY 12 REQUEST                               Enter your estimate of income
                                                                                                          for Fiscal Year 2012; dues collected from members,
9380 Advertising Sales                                                                                    grants from outside sources, sale of tickets,clothing, etc
9386 Entry Fees
9398 Ticket Sales/Event admission                                                                         Revenue is any type of income or fundraising
9199 Dues/donations from members                                                                          money that is available to you.
9803 Grants from department or outside
source(includes non-tax deductible donations)                                                             Note: For every dollar of revenue that comes in, you
      TOTAL INCOME:                                                         $0.00                         should have a matching amount of expense
                                                                                                          listed below, unless you expect to raise more than
                                                                                                          you spend, in which case you wouldn't need SABC funds.
Expenditures(expense by code number)
                                                                                                          Fill in your best estimate of each type
0910 Salaries/Students & Fringes                                                                          of expense you anticipate for next year.(dollar amount)
                                                                                                           If you put a dollar amount next to
1010 Rents & Leases                                                                                       any Expenditures expense code, you will need to
1140 Advertising                                                                                          show on Form C how you calculated that amount.

1310 Insurance                                                                                            You must complete Form C unless you are not
1410 Printing                                                                                             anticipating any expenses for next year in which
1870 Contracts for Officials, Speakers,                                                                   case you do not need to submit a budget
     Sodexo catering,                                                                                     request

201X Postage
2020 Network services (data line
     phone or computer)
2160 Motor Pool or student car                                                      ………….. ……. "Motor Pool" for in-town use only(don't include on
                                                                                                     form 'T' put it on Form 'C')
XXXX Other Expense not listed above                                                 ………….. ……. "Other" is for any expense type you don't see
                                                                                                    listed anywhere else on this page
2720   Travel by student(s)Out of town trips                                        ……………… ……. *If you fill in a dollar amount for travel you must
2891   Fees/Memberships etc.                                                                   complete Form T "Travel" Do not put travel on
3000   Supplies                                                                                Form C "Expense Worksheet".
4000   Equipment (List)


7041 Stipends                                                                       ………………         ……. Stipend is a small fee paid to an executive
                                                                                                       member of your organization rather than salary

       TOTAL EXPENSE ESTIMATE                                               $0.00

       Net Request. Subtract Income from Expenses                  $0.00            This amount is your FY2012 budget request to SABC
       If this net request number is negative( ), no funds are awarded by SABC      This should equal the amount you list on Form A, top right gray box
                                                                                    "Budget amount requested"




                                                                                                             7/22/2011   df9fd459-8161-4674-b43b-eb3ae0c38bc5.xls
                                       Form C "Expense worksheet"



2012 Form C EXPENSE WORKSHEET
Breakdown of estimated expenses for FY 2012
Enter dollar amounts where indicated


1. Use the expense sections below to detail how you plan to spend any budget allocation
   from SABC.
2. Show “math work” for each expense section where you have a dollar amount listed. Use
    the space directly below the line item. If you need more room, use the "Extra Form C" tab to sh
         do not enter any dollar amounts on Extra Form C, use it only for space to show your work

Description                                                             Amount of Expense


0910 Student Salaries& 7091 Stipends may be entered here
“Show your work” how you calculated this expense (use space below)




1010 Rents & Leases
 “Show your work” how you calculated this expense (use space below)




1140 Advertising(radio, newspaper)
 “Show your work” how you calculated this expense (use space below)




1310 Insurance
   “Show your work” how you calculated this expense (use space below)




                                                Page 3
                                   Form C "Expense worksheet"




1410 Printing (flyers,posters,copies)
  “Show your work” how you calculated this expense (use space below)




1870 Contracted Services (Sodexho, speakers, entertainers, campus security, theatre lighting)
  “Show your work” how you calculated this expense (use space below)




2010 Postage (U.S Mail, FedEx, UPS or other shipping methods)
  “Show your work” how you calculated this expense (use space below)




2160 Motor Pool or student car for in-town use
  “Show your work” how you calculated this expense (use space below)




2020 Network Services (data line incl phone and computer)
  “Show your work” how you calculated this expense (use space below)




                                            Page 4
                                    Form C "Expense worksheet"




2891 Fees & Memberships (annual fees or memberships not registration fees for conferenes or tournaments
         or fees paid to be in a tournament, those go on Form T Travel)




XXXX Other Expenses not listed on this page
    “Show your work” how you calculated this expense (use space below)




3000 Supplies (small supplies)
    “Show your work” how you calculated this expense (use space below)




4000 Equipment (uniforms,cameras, computer)
  “Show your work” how you calculated this expense (use space below)




                                              Page 5
                                  Form C "Expense worksheet"




“Show your work” how you calculated this expense (use space below)

                            TOTAL OF ALL EXPENSE ESTIMATES




                                           Page 6
                                                     Form C "Expense worksheet"




y budget allocation

ar amount listed. Use
the "Extra Form C" tab to show your work
for space to show your work.

unt of Expense


                                      <<enter dollar amount here


          Click on the yellow rectangle to begin entering info.
          hit"enter" key at the end of each line
          to go to the next line in your narrative




                                      <<enter dollar amount here


          Click on the yellow rectangle to begin entering info.
          hit"enter" key at the end of each line
          to go to the next line in your narrative



                                      <<enter dollar amount here


          Click on the yellow rectangle to begin entering info.
          hit"enter" key at the end of each line
          to go to the next line in your narrative



                                      <<enter dollar amount here




                                                                  Page 7
                                                    Form C "Expense worksheet"




                                      <<enter dollar amount here




curity, theatre lighting)

                                      <<enter dollar amount here




                                      <<enter dollar amount here




                                      <<enter dollar amount here
           Do not include this in town travel expense on Form T




                                      <<enter dollar amount here




                                                                  Page 8
                                        Form C "Expense worksheet"




onferenes or tournaments
                           <<enter dollar amount here




                           <<enter dollar amount here




                           <<enter dollar amount here




                           <<enter dollar amount here




                                                   Page 9
                    Form C "Expense worksheet"




$   -   This should equal your
        Total Expense Estimate on Form B
        Not the Net request but the
        Total Expense Estimate on Form B




                              Page 10
                                          Extra Form C




Use this sheet if you need additional room to Show Your Work for Form C

0910 Student Salaries
“Show your work” how you calculated this expense (use space below)




1010 Rents & Leases
 “Show your work” how you calculated this expense (use space below)




1140 Advertising(radio, newspaper)
 “Show your work” how you calculated this expense (use space below)




1310 Insurance
   “Show your work” how you calculated this expense (use space below)




1410 Printing (flyers,posters,copies)
  “Show your work” how you calculated this expense (use space below)




1870 Contracted Services (Sodexho, speakers, entertainers, campus security, theatre lighting)
  “Show your work” how you calculated this expense (use space below)


                                             Page 11
                                          Extra Form C




2010 Postage (U.S Mail, FedEx, UPS or other shipping methods)
  “Show your work” how you calculated this expense (use space below)




2020 Network Services (data line incl phone and computer)
  “Show your work” how you calculated this expense (use space below)




3000 Supplies (small supplies)
   “Show your work” how you calculated this expense (use space below)




4000 Equipment (uniforms,cameras, computer)
  “Show your work” how you calculated this expense (use space below)


                                            Page 12
                                         Extra Form C




“Show your work” how you calculated this expense (use space below)




                                           Page 13
                                                              Extra Form C




           Click on the yellow rectangle to begin entering info.
           hit"enter" key at the end of each line
           to go to the next line in your narrative




           Click on the yellow rectangle to begin entering info.
           hit"enter" key at the end of each line
           to go to the next line in your narrative




           Click on the yellow rectangle to begin entering info.
           hit"enter" key at the end of each line
           to go to the next line in your narrative




, theatre lighting)



                                                                   Page 14
                                                Form T Travel


TRAVEL FORM T

Fill in ONLY Gray Boxes for each trip
Cost per mile is based on $.55 per mile if you use a 12 passenger MSUM van and $.48 per mile if you use
    a MSUM mini-van, $.43/mile if you use a MSUM car & per mile reimbursement of $.41/mile if you use a personal care.
    You must also add on $5.00 per day, per each vehicle, if you are using MSUM state vehicles.
There is room on this tab to enter 4 trips. If you need another spreadsheet to add more than 4 trips, please use the "EXTRA FO

Purpose of Trip #1                    Destination City & State      Miles(round trip) x     Cost per Mile( enter .48 or .55 o
(name of workshop or tournament)                                                            (.41/mile personal vehicle)


                                                                                        x                     =
                                                                    plus $5.00/day per MSUM vehicle  +
                                                                    Airfare/ Train total Cost Trip#1 +
                                                                    Total Mileage Cost Trip #1……………… =

                                                                    Registration or Entry Fee……………….          =
Calculating Meals Expense                                           Hotel Lodging Costs Trip #1……………          =
Enter in gray area to right>>>>>>>                                                       x $      19.00       =
                                      enter # of students above^    enter # of days ^
                                                                    Other Cost" not listed above              =
                                                                    Total Trip Cost Trip #1

Purpose of Trip #2                    Destination City & State      Miles(round trip) x     Cost per Mile( enter .48 or .55 o
(name of workshop or tournament)                                                            (.41/mile personal vehicle)


                                                                                          x                   =
                                                                    plus $5.00/day per MSUM vehicle           +
                                                                    Airfare/ Train total Cost Trip#2          +
                                                                    Total Mileage Cost Trip #2……………           =

                                                                    Registration or Entry Fee……………….          =
Calculating Meals Expense                                           Hotel Lodging Costs Trip #2……………          =
Enter in gray area to right>>>>>>>                                                       x $      19.00       =
                                      enter # of students above^    enter # of days ^
                                                                    Other Cost" not listed above              =
                                                                    Total Trip Cost Trip #2

Purpose of Trip #3                    Destination City & State      Miles(round trip) x     Cost per Mile( enter .48 or .55 o
(name of workshop or tournament)                                                            (.41/mile personal vehicle)


                                                                                          x                   =
                                                                    plus $5.00/day per MSUM vehicle           +
                                                                    Airfare/ Train total Cost Trip#3          +
                                                                    Total Mileage Cost Trip #3………………          =

                                                                    Registration or Entry Fee………………. =
Calculating Meals Expense                                           Hotel Lodging Costs Trip #3…………… =



                                                   Page 15
                                               Form T Travel


Enter in gray area to right>>>>>>>                                                     x $        19.00 =
                                     enter # of students above^   enter # of days ^
                                                                  Other Cost" not listed above            =
                                                                  Total Trip Cost Trip #3

Purpose of Trip #4                   Destination City & State     Miles(round trip) x   Cost per Mile( enter .48 or .55 o
(name of workshop or tournament)                                                        (.41/mile personal vehicle)


                                                                                        x                 =
                                                                  plus $5.00/day per MSUM vehicle         +
                                                                  Airfare/ Train total Cost Trip#4        +
                                                                  Total Mileage Cost Trip #4………………        =

                                                                  Registration or Entry Fee……………….        =
Calculating Meals Expense                                         Hotel Lodging Costs Trip #4……………        =
Enter in gray area to right>>>>>>>                                                     x $      19.00     =
                                     enter # of students above^   enter # of days ^
                                                                  Other Cost" not listed above            =
                                                                  Total Trip Cost Trip #4



                                                            Subtotal Trips 1 through 4
                                                            Subtotal Trips 5 through 8
                                     Grant Total Travel Expenses……………………………….




                                                  Page 16
                                                            Form T Travel




use a personal care.

lease use the "EXTRA FORM T" tab

r Mile( enter .48 or .55 or .43 based on type of vehicle)
e personal vehicle)


                              0 automatically calculated
                               enter dollar amount
                               enter dollar amount
                         $0.00 automatically calculated

                               enter dollar amount
                               enter dollar amount
                         $0.00 automatically calculated


                         $0.00 automatically calculated

r Mile( enter .48 or .55 or .43 based on type of vehicle)
e personal vehicle)


                              0 automatically calculated
                               enter dollar amount
                               enter dollar amount
                         $0.00 automatically calculated

                               enter dollar amount
                               enter dollar amount
                         $0.00 automatically calculated


                         $0.00 automatically calculated

r Mile( enter .48 or .55 or .43 based on type of vehicle)
e personal vehicle)


                              0 automatically calculated
                               enter dollar amount
                               enter dollar amount
                         $0.00 automatically calculated

                                enter dollar amount
                                enter dollar amount



                                                              Page 17
                                                            Form T Travel


                         $0.00 automatically calculated


                         $0.00 automatically calculated

r Mile( enter .48 or .55 or .43 based on type of vehicle)
e personal vehicle)


                              0 automatically calculated
                               enter dollar amount
                               enter dollar amount
                         $0.00 automatically calculated

                               enter dollar amount
                               enter dollar amount
                         $0.00 automatically calculated


                         $0.00 automatically calculated



                         $0.00 automatically calculated
                         $0.00 automatically calculated
                         $0.00 Should equal what you entered
                               on Expense line 2720 on Form B




                                                              Page 18
                                                 Extra Form T


TRAVEL FORM T

Fill in ONLY Gray Boxes for each trip
Cost per mile is based on $.55 per mile if you use a 12 passenger MSUM van and $.48 per mile if you use
    a MSUM mini-van, $.43/mile if you use a MSUM car & per mile reimbursement of $.41/mile if you use a personal care.
    You must also add on $5.00 per day, per each vehicle, if you are using MSUM state vehicles.
There is room on this tab to enter 4 trips. If you need another spreadsheet to add more than 4 trips, please use the "EXTRA FO

Purpose of Trip #5                     Destination City & State      Miles(round trip)    x Cost per Mile( enter .48 or .55 o
(name of workshop or tournament)                                                            (.41/mile personal vehicle)


                                                                                           x
                                                                     plus $5.00/day per MSUM vehicle
                                                                     Airfare/ Train total Cost Trip#5
                                                                     Total Mileage Cost Trip #5………………

                                                                     Registration or Entry Fee……………….
Calculating Meals Expense                                            Hotel Lodging Costs Trip #5……………
Enter in gray area to right>>>>>>>                                                        x $     19.00
                                       enter # of students above^    enter # of days ^
                                                                     Other Cost" not listed above
                                                                     Total Trip Cost Trip #5

Purpose of Trip #6                     Destination City & State      Miles(round trip)    x Cost per Mile( enter .48 or .55 o
(name of workshop or tournament)                                                            (.41/mile personal vehicle)


                                                                                           x
                                                                     plus $5.00/day per MSUM vehicle
                                                                     Airfare/ Train total Cost Trip#6
                                                                     Total Mileage Cost Trip #6……………

                                                                     Registration or Entry Fee……………….
Calculating Meals Expense                                            Hotel Lodging Costs Trip #6……………
Enter in gray area to right>>>>>>>                                                        x $     19.00
                                       enter # of students above^    enter # of days ^
                                                                     Other Cost" not listed above
                                                                     Total Trip Cost Trip #6

Purpose of Trip #7                     Destination City & State      Miles(round trip)    x Cost per Mile( enter .48 or .55 o
(name of workshop or tournament)                                                            (.41/mile personal vehicle)


                                                                                           x
                                                                     plus $5.00/day per MSUM vehicle
                                                                     Airfare/ Train total Cost Trip#7
                                                                     Total Mileage Cost Trip #7………………

                                                                     Registration or Entry Fee……………….
Calculating Meals Expense                                            Hotel Lodging Costs Trip #7……………
Enter in gray area to right>>>>>>>                                                        x $     19.00


                                                   Page 19
                                              Extra Form T


                                     enter # of students above^   enter # of days ^
                                                                  Other Cost" not listed above
                                                                  Total Trip Cost Trip #7

Purpose of Trip #8                   Destination City & State     Miles(round trip)   x Cost per Mile( enter .48 or .55 o
(name of workshop or tournament)                                                        (.41/mile personal vehicle)


                                                                                        x
                                                                  plus $5.00/day per MSUM vehicle
                                                                  Airfare/ Train total Cost Trip#8
                                                                  Total Mileage Cost Trip #8………………

                                                                  Registration or Entry Fee……………….
Calculating Meals Expense                                         Hotel Lodging Costs Trip #8……………
Enter in gray area to right>>>>>>>                                                     x $     19.00
                                     enter # of students above^   enter # of days ^
                                                                  Other Cost" not listed above
                                                                  Total Trip Cost Trip #8




                                                                  TOTAL COST TRIPS 5-8




                                                 Page 20
                                                                Extra Form T




you use a personal care.

s, please use the "EXTRA FORM T" tab

t per Mile( enter .48 or .55 or .43 based on type of vehicle)
mile personal vehicle)


             =                   0 automatically calculated
             +                    enter dollar amount
             +                    enter dollar amount
             =              $0.00 automatically calculated

             =                    enter dollar amount
             =                    enter dollar amount
             =              $0.00 automatically calculated

             =
                            $0.00 automatically calculated

t per Mile( enter .48 or .55 or .43 based on type of vehicle)
mile personal vehicle)


             =                   0 automatically calculated
             +                    enter dollar amount
             +                    enter dollar amount
             =              $0.00 automatically calculated

             =                    enter dollar amount
             =                    enter dollar amount
             =              $0.00 automatically calculated

             =
                            $0.00 automatically calculated

t per Mile( enter .48 or .55 or .43 based on type of vehicle)
mile personal vehicle)


             =                   0 automatically calculated
             +                    enter dollar amount
             +                    enter dollar amount
             =              $0.00 automatically calculated

             =                    enter dollar amount
             =                    enter dollar amount
             =              $0.00 automatically calculated


                                                                  Page 21
                                                                Extra Form T



             =
                            $0.00 automatically calculated

t per Mile( enter .48 or .55 or .43 based on type of vehicle)
mile personal vehicle)


             =                   0 automatically calculated
             +                    enter dollar amount
             +                    enter dollar amount
             =              $0.00 automatically calculated

             =                    enter dollar amount
             =                    enter dollar amount
             =              $0.00 automatically calculated

             =
                            $0.00 automatically calculated




RIPS 5-8                    $0.00 automatically calculated




                                                                  Page 22

				
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