Home - Student Supplemental Funding Form

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Student Supplemental Funding Form

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Funds Disbursal Bursar Approval

Disbursed

Non-disbursable

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Financial Aid Need Assessment

No Need

Low

Medium

High

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Optional: Additional Financial Aid Need Assessment Information

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Final Amount - OP218120 Deans Support

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Final Amount - GF620883 Momentum

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Final Amount - GF620884 Graduation Initatives

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Final Amount - Nondisbursable

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Account Options

OP218120 Deans Support

GF620883 Momentum Fund

GF620884 Deans Fund for Graduation Initiatives

Nondisbursable

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Nondisbursable Department Support

None

Ain Center

Burgett Intercultural Center

Center for Community Engagement

Center for Ed Abroad

David T. Kearns Center

Greene Center

Hajim Deans Office

Interfaith Chapel

Office of Mentorship and Student Advocacy

Office of Residential Life

Office of Undergraduate Research

Wilson Commons Student Activities

Select External Department Funders for Records Purposes

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Student Report

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Student Files

Drop files here or

Max. file size: 20 MB.

Applicant Information

Name(Required)

First

Last

UR Student ID Number(Required)

Date of Birth

MM slash DD slash YYYY

Phone

Student Email(Required)

CMC Box

Mailing Address (if different)

Mailing address 2

City

State

Zip

International

I am an international student

I am not an international student

Please list any leadership role(s) you currently hold on campus.

Are you applying as a representative of a student group, or as an individual student?

Individual

Representative

Group Information

Undergraduate groups only, if applicable.

What is the name of the group?

How many students plan to participate in this activity?

Is this group an SA-recognized organization?

Yes

View on the Campus Community Connection site.

If no, why is your organization ineligible to apply for SAAC funding?

The event or program requires funding for activities that SAAC does not fund

The organization would exceed the number of SAAC funding applications allowed per year.

The organization is not in good standing with the SA

Other

For SA-recognized organizations only

Who is the primary advisor?

SA Primary Advisor's Email

Have you met with your SA advisor regarding this funding request?

Yes

Is this organization eligible to apply for SAAC supplemental funding?

Yes

If eligible, organizations must apply for SAAC supplemental funding before completing this application. Please consult with your SA advisor on this as needed.

SA Supplemental Application

Max. file size: 20 MB.

How much did you apply for?

Why is your organization ineligible to apply for SAAC supplemental funding?

The event or program requires funding for activities that SAAC does not fund

The organization would exceed the number of SAAC funding applications allowed per year.

The organization is not in good standing with the SA

Other

Groups must be eligible to apply for SAAC funding in order to complete this application. Please consult with your SA advisor on this as needed.

Academics

Reminder: this funding is only available for undergraduate students.

Expected Date of Graduation(Required)

MM slash DD slash YYYY

Major(s)(Required)

Minor(s)

Cluster(s)

I am currently enrolled in or identify as the following (select all that apply)

Brady Scholar

Citation in Community-Engaged Learning Scolar

E5 or T5 Scholar

Early Connection Opportunity Program (ECO)

First-Generation Student

French Scholar

GEM Fellow

Handler Scholar

Higher Education Opportunity Program (HEOP)

Kearns Scholar

Office of Mentorship and Student Advocacy

Research and Innovation Grant (RIG) Scholar

Rochester CIty School District (RCSD) Graduate

SSS/TRiO

Writing Scholar

Xerox Research Fellow

Other

If "Other", please state

Funding Information

You are encouraged to review the website and mission statement of the department(s) you select to ensure it aligns with your request.

Which category(s) best identifies the type of request you are making?(Required)

Academic Conference

Community-Based Project

Entrepreneurship

Experience Abroad

Internship

Professional Development - Seminar / Conference

Profesional / Academic Development - Tool or Resource

SA-Sponsored Event

Student Competition - Athletic

Student Competition - Academic

Student Competition - Performance

Undergraduate Research

Other

If "Other", please state the category

Describe the activity you are seeking funding for and how you will benefit from it:(Required)

Please include weblinks to the activity or event if they are available.

Select the department(s) that you believe are most connected to the goals or outcomes of this activity:(Required)

Office of Academic Excellence

Center for Community Engagement

David T. Kearns Center

Greene Center for Career Education & Connections

Hajim School of Engineering & Applied Sciences Dean鈥檚 Office

Interfaith Chapel

Office of Mentorship and Student Advocacy

Office for Residential Life

Office of Undergraduate Research

Paul J. Burgett Intercultural Center

Wilson Commons Student Activities

Briefly explain how this activity is connected to the selected department(s):(Required)

Starting date of activity:(Required)

MM slash DD slash YYYY

What is your total requested budget for this activity?(Required)

Please list itemized costs. Include name and dollar amount. Click (+) to add as many items as needed:(Required)

Name

US Dollar Amount

Describe any additional funding towards this request that you have recieved from other sources, if applicable.

Have you already received funding from this request program for an activity during this academic year?

Yes

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