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University of Rochester
Student Supplemental Funding Form
Hidden
Funds Disbursal Bursar Approval
Disbursed
Non-disbursable
Hidden
Financial Aid Need Assessment
No Need
Low
Medium
High
Hidden
Optional: Additional Financial Aid Need Assessment Information
Hidden
Final Amount - OP212631 Deans Support
Hidden
Final Amount - GF620883 Momentum
Hidden
Final Amount - GF620884 Graduation Initatives
Hidden
Final Amount - Nondisbursable
Hidden
Account Options
OP212631 Deans Support
GF620883 Momentum Fund
GF620884 Deans Fund for Graduation Initiatives
Nondisbursable
Hidden
Nondisbursable Department Support
None
Ain Center
Burgett Intercultural Center
Center for Community Engagement
Center for Ed Abroad
David T. Kearns Center
Greene Center
Hajim Deans Office
Interfaith Chapel
Language Center
Office of Enrollment
Office of Minority Student Affairs
Office of Residential Life
Office of Undergraduate Research
Wilson Commons Student Activities
Select External Department Funders for Records Purposes
Hidden
Student Report
Hidden
Student Files
Drop files here or
Select files
Max. file size: 20 MB.
Applicant Information
Name
(Required)
First
Last
UR Student ID Number
(Required)
Date of Birth
MM slash DD slash YYYY
Phone
Student Email
(Required)
CMC Box
Mailing Address (if different)
Mailing address 2
City
State
Zip
International
I am
an international student
I am not
an international student
Please list any leadership role(s) you currently hold on campus.
Are you applying as a representative of a student group, or as an individual student?
Individual
Representative
Group Information
Undergraduate groups only, if applicable.
What is the name of the group?
How many students plan to participate in this activity?
Is this group an SA-recognized organization?
Yes
No
View
list of SA-recognized organizations
on the Campus Community Connection site.
If no, why is your organization ineligible to apply for SAAC funding?
The event or program requires funding for activities that SAAC does not fund
The organization would exceed the number of SAAC funding applications allowed per year.
The organization is not in good standing with the SA
Other
For SA-recognized organizations only
Who is the primary advisor?
SA Primary Advisor's Email
Have you met with your SA advisor regarding this funding request?
Yes
No
Is this organization eligible to apply for SAAC supplemental funding?
Yes
No
If eligible, organizations must apply for SAAC supplemental funding before completing this application. Please consult with your SA advisor on this as needed.
SA Supplemental Application
Max. file size: 20 MB.
How much did you apply for?
Why is your organization ineligible to apply for SAAC supplemental funding?
The event or program requires funding for activities that SAAC does not fund
The organization would exceed the number of SAAC funding applications allowed per year.
The organization is not in good standing with the SA
Other
Groups must be eligible to apply for SAAC funding in order to complete this application. Please consult with your SA advisor on this as needed.
Academics
Reminder: this funding is only available for undergraduate students.
Expected Date of Graduation
(Required)
MM slash DD slash YYYY
Major(s)
(Required)
Minor(s)
Cluster(s)
I am currently enrolled in or identify as the following (select all that apply)
Brady Scholar
Citation in Community-Engaged Learning Scolar
E5 or T5 Scholar
Early Connection Opportunity Program (ECO)
First-Generation Student
French Scholar
GEM Fellow
Handler Scholar
Higher Education Opportunity Program (HEOP)
Kearns Scholar
McNair Scholar or Alumnus
Research and Innovation Grant (RIG) Scholar
SSS/TRiO
Writing Scholar
Xerox Research Fellow
Other
If "Other", please state
Funding Information
You are encouraged to review the website and mission statement of the department(s) you select to ensure it aligns with your request.
Which category(s) best identifies the type of request you are making?
(Required)
Academic Conference
Community-based Projects
Diversity Program
Entrepreneurship
Internship
Language Program
Outreach/Engagement with Prospective Students
Professional Development - Seminar/Training
Programming Abroad
SA-Sponsored Event
Student Competition - Athletic
Student Competition - Academic
Student Competition - Performance
Undergraduate Research
Other
If "Other", please state the category
Select the College department(s) that you believe are most connected to the goals or outcomes of this activity:
(Required)
Ain Center for Entrepreneurship
Center for Community Engagement
College of Arts and Sciences Dean’s Office
David T. Kearns Center
Greene Center
Hajim School of Engineering & Applied Sciences Dean’s Office
Interfaith Chapel
Language Center
Office of Enrollment
Office of Global Engagement
Office of Minority Student Affairs
Office for Residential Life
Office of Undergraduate Research
Paul J. Burgett Intercultural Center
Wilson Commons Student Activities
Describe the activity you are seeking funding for and how you will benefit from it:
(Required)
Please include weblinks to the activity or event if they are available.
Date of activity:
(Required)
MM slash DD slash YYYY
What is your proposed budget for the activity?
(Required)
List costs. Include name and dollar amount (add as many as needed):
(Required)
Name
US Dollar Amount
Add
Remove
Briefly explain how this activity is connected to the mission of the selected department(s):
(Required)
Have you already received funding for an activity during this academic year?
Yes
No
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