Student Activities Fund Final Report - Student Experience Office

Project Title*

Application Type*

Name*

First Last

Student Number*

Email*

Name of Group*

Banking Address of Group: Required to process application payment*

Please include bank name, address, and account number of group/club bank account.

Mailing address for group funding cheque*

Please include the mailing address (incl. postal code) for the funding cheque to be sent to

Contact Person for Group*

First Last

Carleton Email*

Information of Group Members Involved in Funding*

First Name	Last Name	Student Number	Carleton Email

Project Funding: Description of the outcome of the project (i.e. describe what has been achieved as a result of the funding, how many people were affected, etc.)*

Individual Funding: Description of the applicant's participation in the project (i.e. sessions attended, impact on the application of the learning experience, etc.)*

Describe how the expenditures are related to the funding approved*

Claimant Form

This only needs to be submitted if the funding is being provided to an individual and not a group bank account. Please upload your signed and completed Claimant Declaration Form(PDF). Please note that only the Claimant Name (your name), Claimant ID (your student number), event destination, event dates, purpose of claim, date, and signature have to be completed.

Receipts and Expenditures*

Please attach copies of receipts (or copies of internal chargeback forms if appropriate) for all expenditures related to this activity. These are required to process your funding application. If the funding is to be issued to a club bank account via a cheque, please include the mailing address and ensure the invoice is billed to Carleton University.

Acknowledgement*

I acknowledge that the above information is accurate and will update the Student Experience Office 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.