Please fill out the following form. Do not leave any fields blank. If you do not have information for a particular field, type the word NONE. You will not be able to submit this form with any blank fields. If you do not wish to fill out the form on line, you may download a PDF document instead.

For additional information, please refer to the General Fee Advisory Committee Bylaws.

SECTION A: General Fee Unit Information

Department, Program, or Organization Name:

Contact Name:

Campus Address:

Contact Phone:

Contact Email:

Total 2012 - 13 PERMANENT General Fee Funding $

Total 2012 - 13 TEMPORARY General Fee Funding $

Percent of Current Budget Supported by General Fee %

SECTION B: Expense Summary, etc.

1. Please summarize all General Fee expenditures for 2012-13 below:

Include anticipated expenses for the last month of the current semester

Feel free to attach additional pages and relevant supporting documentation

Round all figures to the nearest dollar

Include number of students participating and/or in attendance if applicable under "Students Engaged" (provide approximate number is exact figures are not available).

View an example featuring a purely fictitious Student Organization!!

GENERAL FEE EXPENSE ITEMS COST

Please answer the following:

2. How do CSU students benefit from your use of General Fee Funds?
How do CSU students benefit from your use of General Fee Funds?

3. Are your programs/activities formally assessed? If so, (a) share your assessment process and (b) assessment results from the 2012-13 year and (c) how will the assessment results be used in your planning process?

Details of organization's assessment process

4. Comments - add thoughts regarding General Fee Processes and/or Funding:
Comments