FY25_IUSM Student Event Request Form

Event Funding Policies and Procedures: Review before submitting request!

https://medicine.iu.edu/mse/student-life/resources/funding

You will need your University ID # for this request. The number can be located on MSAS.

Have you submitted your event to the MD Student News?*

Here is the link if you have not submitted your event to the MD Student News.

Select

Here is a list of relevant documents that must be uploaded NOW if your event fulfills the criteria.

Only 1 Supplier per Event Request
Attendee List is required for an event with 50+ attendees.
Excel file with links of what needs to be purchased. Ex: Amazon items
An online order form for food. Remember to include tax, tip and delivery.
Invoice
Supplier quote.
Contract or Agreement if required by venue

IMPORTANT

Only complete funding requests will be considered. Incomplete requests will be returned to the requestor to be resubmitted with missing required information.

LOAD ALL ATTACHMENTS HERE:

Thank you for being thorough and helping us expedite your request.

Drag and drop files here or

We strongly encourage students to consider a reimbursement option.*

THIS OPTION STILL REQUIRES EVENT APPROVAL PRIOR TO MAKING ANY PURCHASES OR REIMBURSEMENT WILL BE DECLINED.

We find it much more flexible and efficient for students to purchase things like approved Kroger orders, pizza, donuts and bagels on their own and get reimbursed. Why? You are in control of substitution decisions, delivery and pick-up details without dealing with us as a middle man.

Please indicate your willingness to participate:

Select

What Student Group or SIG are you affiliated?*

After the SIG name, ISF or MSC is stated, in the next question choose the corresponding fund.

Select

Which Student Fund are you seeking to utilize for this event?*

If you are a SIG, please reference this LIST to determine what Student Fund should be used.

Select

What is the date of the event?*

What is the name of the Event?*

Please keep the title short and use "Describe the Event" for details. If not an event, just title the request. (Example: Coffee supplies)

Describe the details of the Event.*

Please include ALL DETAILS of funding request. This includes: Purpose for the event/what you are wanting to purchase/how this event will benefit students/if the event or activity requires a deposit to book/if this request is only a part of total event cost. Example: "This request is for food but ticket/venue cost will be submitted separately."

Provide the way you plan to advertise the event to ensure attendance.*

List the complete address of both on and off-campus locations.*

What is the approximate start time of the event?*

What is the approximate end time of the event?*

What is your University ID #?*

What is your first name?*

What is you last name?*

What is your IU email address?*

What is your cell #?*

Phone

Are you the student that is hosting the event?*

Select

What is the first name of the person hosting the event?

What is the last name of the person hosting the event?*

What is the email of the person hosting the event?*

What is the number of students attending the event?*

What is the number of Faculty/Staff attending the event?*

What is the number of Non-IU attendees?*

What is the total funding amount you are requesting?*

If approved, you will not be able to exceed the total requested amount, so double check prices and that tax, tip etc. have been included. Guidelines for tipping: 10% for pick up orders, 15% for delivery and 20% for full-service meals.

What is the cost per attendee?*

The cost per person should not exceed $35.

Will you be purchasing food for this event?*

Select

Is this a pick up or delivery order?*

Select

What time do you want your food order to be delivered or ready for pick up?*

If not applicable, please put "N/A."

Please provide the supplier information.*

Only one supplier per request.

NOTE: Include suppliers such as Kroger or Amazon, however, you do NOT need to provide contact information for them.

Please enter information as follows:

Supplier Name:

Supplier Contact:

Supplier Phone #:

Supplier Email Address:

If supplies are being ordered and you do NOT want the supplies delivered to Long Hall, Suite 428, please enter an alternate delivery address.

Note: You are assuming responsibility for purchased items. Please ensure the address is a complete mailing address including any special delivery instructions.

If not listed, who is your group?

What Class years are included in this event?

Select or enter value

Is this a Wellness Event?*

Select

Send me a copy of my responses

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