Student organization name Name of student applicant Email address Phone number Amount of funding requested Temple Dental faculty advisor Event or trip dates Number of participating students Number of people/patients helped (if applicable) What is the mission of your student organization? (750 word limit) Total projected cost of the event or trip? Estimated cost per student (if applicable) Student organization details Student organization details Yes, the event/trip is approved by the associate dean of student affairs First time requesting grant Previously awarded grant (also complete Section C) Does your organization fundraise? No, our organization does not fundraise. Yes, our organization fundraises. How will your organization use the grant? (750 word limit) Please itemize the cost for each item or transaction. Note: Unused balance must be returned to the Alumni Association. Additional information Please include any information that you feel will help the grant committee make a decision. If you have received the grant in the past, please let us know why you should be considered for this year's grant. Today's Date Leave this field blank
Please itemize the cost for each item or transaction. Note: Unused balance must be returned to the Alumni Association.
Please include any information that you feel will help the grant committee make a decision. If you have received the grant in the past, please let us know why you should be considered for this year's grant.
