Program Funding Request

First Name *

Last Name *

Email *

Phone Number *

Date, Time and Location of Event *

Title of Event/Program *

Amount Requested ($500 maximum) *

Total Cost of Project/Program *

Have you identified other funding? If so, please specify. *

Describe how this program/activity raises awareness of diversity and/or increases participation and retention of underrepresented groups in our campus community. *

Describe how this program/activity will benefit the campus community. *

How does this project/program help fulfill the OSU-Cascades Diversity Mission and Goals? *

OSU-Cascades

Program Funding Request

Contact Info