Viking Coca-Cola Initiative Fund Request Form

Request Information

Completely fill out the form below with as much detail as possible. Please note that the funds are limited and at any given time they may be exhausted, resulting in denied requests.

A committee will review the information submitted and determine if the request can be fulfilled. In order to be considered, applications must be submitted four weeks prior to an event.

Required
Contact Name:
Contact Phone Number:
Contact Email Address:
Adviser/Supervisor Name:
Adviser/Supervisor Phone:
Adviser/Supervisor Email:
Do you represent a:
Group/Organization:
Event Name:
Event Location:
Event Description:
Event Date:
Overall Event Budget:
Will attendees be charged an entrance fee or will tickets be sold?
If so how much per entry:
Target Audience: (check all that apply)
Expected Attendance (#):

Product Request: (products cannot be resold)

How will these products be used?

How much product are you requesting?
Cases include 24 bottles per case. Bottles are 12 oz.
Funding Requests are judged based on their impact to St. Cloud State University initiatives. Identify and explain how your request supports one of the initiatives below: