Application for Funding from the

UNDERGRADUATE STUDENT GOVERNMENT

Parliament Finance Committee
Please submit an electronic version and a printed version of the application to members of the Parliament Finance
Committee (PFC). Applications requesting less than €200 have to be forwarded to the members of the Financial
Affairs Committee by latest ten (10) days before the date your event is scheduled. For applications requesting more
than or equal to €200, it must be given to the members of the Parliament Finance Committee at least fifteen (15)
days in advance.

Important: This form allows us to accurately evaluate the funding application and it therefore must not be reformatted in any way. Should a different
version of this form be presented as an application, such application will be fully disregarded and the submitter will be asked for re-submission with
the appropriate format.

PFC Members (2010-2011): Lisa Begusch (Chair) (C3 D-212) (l.begusch@jacobs-university.de) Samantha Ong (C3 C-316) (sa.ong@jacobs-
university.de) Frank Richter (C3 C-337) (f.richter@jacobs-university.de)

Please fill the fields below, all of which are requested:

1. Name of Club or Delegation Applying:

2. Name of People in Charge:

3. Event or item for which funding is required:

4. Date(s) & Place in which the event will take place:
5. Approx. No. of Jacobs University members benefiting from event or item:

6. Approx. No. of people from outside Jacobs University involved or benefiting from event or item:
7. Please attach an extra sheet of paper at the end of this document and please describe how this activity or
item will benefit the members of Jacobs University. Please also include any other information you may
consider relevant.

8. Please Indicate your total Budget in the table below (Add more table rows if necessary):
Item No. of Units Price per Unit (€) Amount in Euro (€)

Total Budget

9. Indicate how much money you are requesting from PFC and what is to be used for (Please be as specific
as possible):

Item No. of Units Price per Unit (€) Amount in Euro (€)

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 Total € (From PFC Only)

10. Please indicate your other sources of funding and how much you expect from them.

Name(s) of Source(s) To be used for...? Amount Expected (€)

_____________________________________________________________________________________________

I hereby confirm that I have read and agree to all the terms and conditions for funding as explained in the Application
Guidelines of the Parliament Finance Committee1 and that all data provided in this application is true to the best of my
knowledge.

(First name, last name) (Signature)

(Date)

For PFC use only:

Total Approved Chair of PFC Date Signature

1
The Application Guidelines of the Parliament Finance Committee is available in the Undergraduate Student Government
Website in Confluence TeamWork.

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