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Neighborhood Relations Commission
                      Funding Request Form, please print clearly 

Name: ___________________________________ Date: ___________________________

Email:_____________________@ucmerced.edu                             Phone (optional): (_____) ____________

Please describe the event/activity/item you have in mind, why it is a great idea and how it will
promote good neighbor relations between the University and the community . Use no more than
200 words (use back if needed, please print clearly).

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
__________________________________________________________________________

What is your project called? __________________________________________

How many people will this affect? ___________________


Event Date: ________________                                         Date items needed: _______________

Club affiliation (not required):___________________________________________________

Vendor: ___________________________ Phone: _______________ Fax: ______________
Items to be purchased: _______________________________________________________
Estimate of cost: $ __________________________________ (attach estimate)
**NOTE: If purchase is for food, a participant list must be turned in within 2 days after event.
Item(s) for: _______________________________________ (submit event flyer or agenda)

Signature of applicant:
For administrative use only (below):

ASUCM NRC Chair: ______________________________
ASUCM NRC Vice-Chair: __________________________
ASUCM President: ________________________________
ASUCM Treasurer: ________________________________

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NRC Funding application

  • 1. Neighborhood Relations Commission Funding Request Form, please print clearly Name: ___________________________________ Date: ___________________________ Email:_____________________@ucmerced.edu Phone (optional): (_____) ____________ Please describe the event/activity/item you have in mind, why it is a great idea and how it will promote good neighbor relations between the University and the community . Use no more than 200 words (use back if needed, please print clearly). ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ __________________________________________________________________________ What is your project called? __________________________________________ How many people will this affect? ___________________ Event Date: ________________ Date items needed: _______________ Club affiliation (not required):___________________________________________________ Vendor: ___________________________ Phone: _______________ Fax: ______________ Items to be purchased: _______________________________________________________ Estimate of cost: $ __________________________________ (attach estimate) **NOTE: If purchase is for food, a participant list must be turned in within 2 days after event. Item(s) for: _______________________________________ (submit event flyer or agenda) Signature of applicant: For administrative use only (below): ASUCM NRC Chair: ______________________________ ASUCM NRC Vice-Chair: __________________________ ASUCM President: ________________________________ ASUCM Treasurer: ________________________________