ࡱ> :<95@ bjbj22 "(XX V V V V b L; $RCb      b PSV7V z 0;, $X   r r STUDENT ACTIVITY PROPOSAL & REQUEST FOR FUNDS This form must be completed and approved a minimum of two weeks prior to the date of the proposed College sponsored activity/fundraiser, both on- and off-campus. Name of organization: ___________________________________________ Activity/Fundraiser ProposedDateTimeDetails:  Anticipated financial needs for activity/fundraiser: AmountSource of Funds (club account, donations, etc.)  Funds raised for what purpose? ______________________________________________________________________________________________________________________________ Who will be in attendance? Club/organizations members only _________ Members and guests ________ Open to all students _________ Off-campus speakers ________ Faculty/sponsors (mandatory) __________________________________ Specify: __________________________________ Facility needs: On-campus _____ Location: ___________________________________ Off-campus _____ Location: ___________________________________ The following is agreed upon and understood by the sponsoring organization: All College policies, rules, and regulations governing student conduct will be observed. Immediately following the activity, the organization is responsible for complete removal of all materials such as posters, signs, and other exhibits displayed both on- and off-campus. The organization will make satisfactory arrangements with the College and/or other involved parties in the event of property or facility damage. The College sponsor(s) of the organization will be present for the entire activity. The proposed activity may not be approved and may not take place until the organization or College sponsor(s) have returned this form to the Dean of Instruction for proper approval. The organizations original form will be returned by the Dean of Instruction. A copy will be sent in campus mail to the College Sponsor of Student Activities records and a copy will be sent in campus mail to the College sponsor. ____________________________ _____________________________ Signature of Organization President Signature of College Sponsor ____________________________ _____________________________ Phone # Phone # ______________________________ Dean of Instruction ______________________________ Date Approved Student Activity-revised 5/3/04 /  L M P y ! ? A C ] a   6 7 Z [ _  ~4¹hh6CJaJh6CJaJhh?Zh h;;h,hi=h{g hschsch)hsc h5hh5CJ$aJ$/./   4 9 > !!!!!!!! , $$Ifa$gdsch^hgdsc & Fgdgd$a$gd > ? @ A B LC CC, $Ifgdsckd$$IflF8PT!\   t06    44 lapB C L M N o fDfDfD $Ifgdsckd$$IflF8PT!\  t06    44 laN O P Q !!!|!p pD $$Ifa$gdsch^hgd & FgdgdgdscgkdC$$Ifl8T! t0644 la ja aD $Ifgd;;kd$$Ifl08,"   t0644 lap y yD $Ifgd;;|kd*$$Ifl08,"  t0644 la y z y!y!j!{ a!Y!T!T!T!gd{g & Fgd{gh^hgd{g & F 8dhgdi=h^hgdsc|kd$$Ifl08,"  t0644 la  b [ \ ] ^ _  M>?@~12!!!!!!!!!!!!!!!!!!!!!!!!gd?Z & Fgd?Z & Fgd?Zh^hgd, & Fgd,gd{g2345Thi!!!!!!!!!!!!!!!!!!!v:h^hgd, 1h/ =!"#$%$$If!vh5\ 55#v\ #v#v:Vl  t65\ 55ap|$$If!vh5\ 55#v\ #v#v:Vl t65\ 55aL$$If!vh5#v:Vl t65a$$If!vh5 5#v #v:Vl  t65 5apf$$If!vh5 5#v #v:Vl t65 5af$$If!vh5 5#v #v:Vl t65 5a@@@ NormalCJ_HaJmH sH tH DAD Default Paragraph FontRi@R  Table Normal4 l4a (k(No Listj@j sc Table Grid7:V0 ( z z] ./49>?@ABCLMNOPQyzb[\]^_M>?@~ 1 2 3 4 5 T h i 00000 00 00H 0H 0H 0L 0000000000 000 00L 0 @0@00 0000 00 00000000 000000 0 0_ 0_ 0_ 0_ 0_0p0000p0000p0000000000p00 0 0 0 0 0p0p3 4 5 T h i M9000 M900M90000@00 > B N 2   KLyyzz !?AC]aZ\^3  dhicks*b0808^8`0o(.0^`0o(. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.*bt~2lA       b ?Z#-;;i=>asc{gT),\$49>?@ABCNO @n  @@UnknownGz Times New Roman5Symbol3& z Arial"1hYFYFzyFtLtL!4d 3QH ?STUDENT ACTIVITYdhicksdhicks Oh+'0  8 D P \hpxSTUDENT ACTIVITYdTUDdhicks hichicNormal dhicks 2icMicrosoft Word 10.0@F#@@+V7@+V7tL՜.+,0 hp  Panola College A STUDENT ACTIVITY Title  !"#$%&'(*+,-./02345678;Root Entry FҫV7=Data 1TableWordDocument"(SummaryInformation()DocumentSummaryInformation81CompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q