SAF Request – Forms – MSSA – Minnesota State University, Mankato

This form is for Student Activity Fund, Non-Budgeted Funds Requests.

Section 1: Event Contact and Details

Name of Organization:
Contact Name:

Email Address:

Phone Number:

Event Date:
Event Location:

Event Description:

Section 2: Event Information

Departure Date:

Departure Time:

Return Date:

Return Time:

Number of People Attending

# of MSU Students:

# of Non-MSU Students:

# of Faculty:

Is there a time deadline to this request and if so, when?

What benefit would MSU Students receive from the use of these funds?

Why do you feel Student Activity Funds should pay for your event?

Total SAF Request $ :

Section 3 - Expenses

Transportation

Type of Transportation:
Total Miles?

Total Cost of Transportation $:

Fees (Conference, Registration, ect.)

Number of People:
Total Cost per Person $:

Total Cost of Fees $:

Meals (*Meals for RSO trips are not SAF Funded)

Number of People:
Daily Cost Per Person $:

Total Meal Cost $:
Number of Days:

Lodging

Number of People:
Daily Cost Per Person $:

Total Lodging Cost $:
Number of Days:

Other Expenses

Total Other Expenses $:

For what and why do you need other funding?

Total Expenses Less Meals

Expenses without Meals $:

Total Expenses

Total Expenses $:

Section 4: Revenue/Income

Expenses paid for by organization$:
Expenses paid for by fundraising$:

What were your fundraising efforts ?

Expenses paid for by administration$:
Expenses paid for by donations$ :

Other revenue $:

Where did you receive the other revenue?

Total Revenue $:

Expected contribution by students if request is fully funded $ :

A member of Minnesota State Colleges and Universities System.
Minnesota State University, Mankato is an Affirmative Action/Equal Opportunity University.
This document is available in alternative format to individuals with disabilities by calling Student Union office at
507-389-2224 (V), 800-627-3529 or 711 (MRS/TTY)