Fundraising Application

Name of sponsoring group

Contact person

Contact phone

Contact e-mail

Fundraising Activity

*If film, please specify by name; if t-shirt, please e-mail a copy of the design to the director of the OSE, tbates@smith.edu.

Food Sale? Please describe type of food to be sold.

Date of fundraiser

Time of fundraiser

Location of fundraiser

Cost per item/per person

Detailed description of expenses

Has your organization previously sponsored this event?

select... Yes No

If there are any questions upon receipt of this application you will be contacted by the director of the OSE. You will be notified regarding approval via e-mail within 48 hours of submitting your application. This organization assumes financial responsibility for any debt resulting fromt his fundraising activity.

Submitted by

Digital signature

Date

Please print this page before sending it to the OSE so that you have a copy for your records.