Organization: Requestor’s Name : Officer Position: Phone: Email: Date:

1. 2019-2020 ASI Budget Request Organization: Requestor’s Name: Officer Position: Phone: Email: Date:

2. 2019-2020 ASI Budget Request Total amount requested from ASI: $ Reminder: Amount cannot exceed $3,000. The total amount listed on all slides in this presentation must equal the total amount requested above. Will you receive funds from other sources, i.e., fundraising, donations, etc.? Yes No If yes, please detail below the amount requesting from other source(s).

3. 2018-2019 ASI Budget Request ASI Purpose Statement Associated Students Incorporated is a non-profit auxiliary which exists to support the educational mission of CSU Channel Islands. ASI facilitates learning and development through integrative and co-curricular approaches and identifies and responds to major student issues and initiatives. In addition, ASI implements sound business practices which uphold the fiduciary responsibility associated with the management of student fees, and funds the operation and facility of the CI Student Union.

4. 2019-2020 ASI Budget Request Purpose of your organization: i.e. Statement of Purpose, Who do you serve? What do you do?

5. 2018-2019 ASI Budget Request Please describe how the requested funds will be used to support the ASI statement of purpose:

6. Step By Step • Title the slide with the name of your Initiative, Program, or Event. • Fill in the Month of Event section. • Describe the nature of your proposed event, why you chose to request ASI funding for the event, and what the ASI funding will be used for in the Why ASI Funding section.

7. 2019-2020 ASI Budget Request Please sum the total requested amount in each account category for your entire budget request (i.e. all events/initiatives).

8. Earth Day Event Expected number of attendees (if applicable): 200 Month of event: April Why ASI funding? Our organization would like to table at the Earth Day event in the Spring semester. ASI funds would be utilized to purchase necessary items such as tabling supplies/decorations, promotional water bottles to pass out to students, and flyers. This event occurs annually and is open to all students, staff, faculty, and administrators. EXAMPLE

9. Name of Initiative, Program or Event Expected number of attendees (if applicable): Month of proposed event: Why ASI Funding? Please provide a detailed description of the initiative, program or event and justification for receiving ASI funds. Use additional slides per submission as needed.

10. Name of Initiative, Program or Event Expected number of attendees (if applicable): Month of proposed event: Why ASI Funding? Please provide a detailed description of the initiative, program or event and justification for receiving ASI funds. Use additional slides per submission as needed.

11. Name of Initiative, Program or Event Expected number of attendees (if applicable): Month of proposed event: Why ASI Funding? Please provide a detailed description of the initiative, program or event and justification for receiving ASI funds. Use additional slides per submission as needed.

12. Name of Initiative, Program or Event Expected number of attendees (if applicable): Month of proposed event: Why ASI Funding? Please provide a detailed description of the initiative, program or event and justification for receiving ASI funds. Use additional slides per submission as needed.