CUx Experience Fund Application

Please contact cux@carleton.ca with any questions.

The approval of an application for funding depends upon the availability of funding. Applications must be submitted by the student(s) or staff who are participating in the event a minimum of 30 days in advance of the event date. Applications can take up to 10 business days to review.

Name of Group*
Group contact person*
First Last
Carleton Email*
Are you a student or staff member at Carleton?*
- Student
- Staff
CUID (Student Number)*
Year of Study*
Group Application Information (required for any students involved)
First Name Last Name CUID Carleton Email
Name of Activity or Event*
Date of event*
Category of Event*
- Create (personal)
- Connect (relationship building)
- Contribute (civic engagement and community building)
How does this activity/event align with the mission and framework of CUx?*
What are the specific objectives of your proposed initiative?*
How will the proposed initiative be evaluated in terms of its objectives?*
What other funding options have been explored and what funds have been raised to date in support of this project?
Budget*
Max. file size: 15 MB.
Please include the proposed budget (including all expenses and other sources of funding).
Acknowledgement:*
I acknowledge that the above information is accurate and will update the CUx program lead should any changes occur
Applications received after the event has taken place will not be considered. Decisions of the committee are FINAL and are not subject to appeal. All approved expenses must have copies of receipts, boarding passes etc. for reimbursement. The University assumes no liability arising out of or in consequence of the attendance or participation by the applicant in the conference or event.

Receiving funding pursuant to this application does not constitute University sponsorship of this event. The University assumes no liability arising out of or in consequence of the attendance or participation by the applicant in the conference or event.

The information in this message, including all attachments, is privileged and may contain confidential information intended only for the person(s) named above. Any other distribution, copying or disclosure is strictly prohibited. If you are not the intended recipient or have received this message in error, please notify Carleton University immediately by reply email at the contact listed above and permanently delete the original transmission from us, including any attachments, without making a copy. Carleton University is fully compliant with the Freedom of Information and Protection of Privacy Act and appreciates your cooperation in this matter.

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First Name	Last Name	CUID	Carleton Email