Funding Request Form | Diversity, Equity, Inclusion, and Justice @UConn

Please submit the form below to request funding for Professional Development (up to $1000 for grads; up to $2000 for staff) or for One ODI Programming Sponsorship:

Name(Required)

First Last

Email(Required)

Requesting Funds(Required)

Requesting funds for Professional Development

Requesting funds for One ODI Programming*

*All center/program collaboration that is beyond is co-sponsorship

Business Reason:(Required)

Details of what the funds will cover including registration fees, travel, hotel, transportation, etc.

Amount requested and how will you use the funds?(Required)

i.e. $500 air, $500 hotel, etc.

Have you requested other sources for funding?(Required)

Yes

Example: UCPEA

Please list other sources of funding:(Required)

Have you received approval from a center manager/supervisor?*(Required)

Yes

Not applicable (funds cover entire event)

*if funds do not cover entire event

Name of center manager/supervisor(Required)

First Last

How does your request align with ODI framework?(Required)

Event/programming Information(Required)

Amount Requested:(Required)

Name

This field is for validation purposes and should be left unchanged.