2023-2024 InclusionNU Fund Application

Spring 3 Funding Cycle
(For events taking place on or after May 17, 2024)

Deadline: Friday, May 3, 2024 at 2:00 PM Central Time

Applicants will be notified of award decisions within 2 weeks of the funding deadline (by May 17). Visit the MSA website at bit.ly/inclusion-nu-fund for more information.

Please contact inclusion-nu@u.northwestern.edu with any questions.

BASIC INFORMATION
General/Main Organization Email
Application contact - Name
Application contact - Position

Position/role in student organization
Application contact - Email

A copy of your application will be sent to this email address.
Application contact - Phone Application contact - Phone - ### - ### ####
Organization name
What is the mission of your organization?
SOFO Account Number
(7-digits, 20XX-XXX)
Has your organization been awarded InclusionNU Funding during this academic year?

Has your organization been awarded InclusionNU Funding during this academic year? Yes No
How much funding was your organization awarded from InclusionNU this academic year? $ Dollars . Cents
Uh oh!

It looks like your organization has already reached its annual funding limit for InclusionNU, and is not eligible to receive additional funding. Each organization can only be awarded up to $2,000 per academic year. Your application will not be considered.
Has your organization completed its Post-Event Summary and submitted all receipts?

Has your organization completed its Post-Event Summary and submitted all receipts? Yes No
Uh oh!

Organizations that have not submitted required documentation for award disbursement are ineligible to apply for further funding until their documentation is submitted. Please close out your previous award before applying again. Your application will not be considered for this funding cycle.
Organization President - Name
Organization President - Email
Organization Treasurer - Name
Organization Treasurer - Email
Organization Advisor - Name
Organization Advisor - Email
PROGRAM DETAILS
Title
Date

The date of your event must be at least two weeks after the current funding cycle deadline.
Event Format

Event Format Virtual Hybrid In-Person
Event Location
Briefly describe the program.
Maximum of 200 words allowed. Currently Entered: 0 words.
How does this program align with your organization's mission?
Maximum of 200 words allowed. Currently Entered: 0 words.
Estimated number of participants/attendees
Who is the primary audience for your program?
How will you ensure that your program reaches your primary audience?
Maximum of 200 words allowed. Currently Entered: 0 words.
How will you ensure your program is accessible for all attendees?
Maximum of 200 words allowed. Currently Entered: 0 words.
Please visit the AccessibleNU website for a guide on planning accessible events.
Name of co-sponsors or collaborators, if any
Will alcohol be served or available during the program?

Will alcohol be served or available during the program? Yes No
Uh oh!

InclusionNU does not fund events where alcohol is available. Your application will not be considered for funding.
MISSION ALIGNMENT
Which InclusionNU funding priority best fits your program?

Which InclusionNU funding priority best fits your program? Identity Development Wellness Education and Awareness
How does your program align with this funding priority of InclusionNU?
Maximum of 200 words allowed. Currently Entered: 0 words.
What do you want participants to get out of your program?
Maximum of 200 words allowed. Currently Entered: 0 words.
How will you measure the success of your program?
Maximum of 200 words allowed. Currently Entered: 0 words.
BUDGET
Total cost of program $ Dollars . Cents
Detailed budget - Expenses

Please list all expenses associated with your program. The total should equal the "Total cost of program" amount above.
Amount requested from InclusionNU $ Dollars . Cents
Cannot exceed $2,000
What expenses will you use InclusionNU funds for?

Please list all items you would spend InclusionNU funds on, as well as the cost of each item. The total should equal the "Amount requested from InclusionNU" number, above. Please refer to the list of eligible and ineligible items on the InclusionNU Fund website under "Limitations."
How will InclusionNU funding contribute to your program's success?
Maximum of 200 words allowed. Currently Entered: 0 words.
How will you modify your program if you do not receive the requested amount from InclusionNU?
Maximum of 200 words allowed. Currently Entered: 0 words.
Are you receiving ASG funding for this program?

Are you receiving ASG funding for this program? Yes No
How much funding are you receiving from ASG for this program? $ Dollars . Cents
Will you be charging admission for this program?

Will you be charging admission for this program? Yes No
Please list other funding sources, if any.
Maximum of 200 words allowed. Currently Entered: 0 words.
Please list all other funding sources for this program, and indicate whether the funding is confirmed or not yet secured.
If applicable, how do you plan to address any anticipated funding shortfalls?
Maximum of 200 words allowed. Currently Entered: 0 words.
Please upload supporting documents (quotes/contracts for speakers, quotes from vendors, letters of funding, etc.) for your budget.

Attach Files
OTHER
What else do you want the board to know about your program?
Maximum of 200 words allowed. Currently Entered: 0 words.
CERTIFICATION

If granted InclusionNU funds, I agree to submit an award agreement within a week of notification in order to execute the award. I also agree to submit a post-event summary and related receipts within 30 days of the proposed event date in order to receive awarded InclusionNU funds.
Agree
Electronic Signature

2023-2024 InclusionNU Fund Application

2023-2024 InclusionNU Fund Application

BASIC INFORMATION

Uh oh!

Uh oh!

PROGRAM DETAILS

Uh oh!

MISSION ALIGNMENT

BUDGET

OTHER

CERTIFICATION