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Provost's Office

Cultural Affairs Committee Fund

Application

The Cultural Affairs Committee seeks to fund events that promote the value of art and culture, and have the potential to generate broad based interest within the University Community. Such interest may be demonstrated by applications that share several sponsors and/or funding sources. Applications related directly to the University’s academic programs are especially encouraged.

The Following are general guidelines used in considering applications:

All applications must be submitted on behalf of or with the support of one or more departments or programs at the University. Written letters of support from all supporting or co-sponsoring departments or programs must be submitted with the applications. The Committee encourages multiple sponsorships.
Student organizations may submit applications for funding. The application must be supported by one or more departments or programs at the University and approved by the faculty or staff sponsor of the student group.
All applications must include an itemized budget. Accepted applicants are required to submit a final report by the end of the academic year in which the event occurs. This final report must include how the Committee’s funds were spent and the total program budget for the event.
Recipients who do not submit final reports will not be considered for future grants until final reports are received by the Committee.

Your Information
First Name:
Last Name:
E-mail Address:
Phone:
School/Dept:

Activity Information
Title of Activity:
Brief Description of Activity - Benefit to LSSU and Community:

Timeline of Activity:

Budget (itemize into the following categories: A. Materials and Supplies, B. Printing Costs, C. Software, D. Project-related Travel, E. Wages, F. Other Related Expenses):

Budget Justification - Briefly explain the need for items listed in your budget and any additional items that may be required:

Please also list other funding sources (department, state, local, out-of-pocket, etc.) that will be used for this activity:

Total Project Costs (required funds & other funding sources):
Indicate availability of facilities and equipment that the University will provide to use for this project:


Approvals (the following individuals will be contacted by email for project approval)
Dean/Immediate Supervisor:
Email:
Appropriate Vice President:
Email:
By checking this box, I agree that I have read the application guidelines and all information submitted is correct to the best of my knowledge.

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