Student Career Development and Leadership Budget Outline Form

*** Please note that funding could affect any financial aid package that you may currently have. If you have any concerns about this, please contact the financial aid office at 217-333-0100 ***

Applying for: (check only one, submit separate forms for each)

• Professional Organizations-student membership fees ($50-75.00 per membership)
• Conference Travel ($250.00 to assist with travel-related expenses for student presenting at conferences)
• Study Abroad ($500.00 to assist with travel-related expenses)
• Leadershape (please see your academic advisor for details)

I am requesting the following amount to assist with the following expenses (please indicate the organization and membership, conference name and location, or study abroad school and location you are seeking:
$

Are you receiving any additional funding from another source for this request?

• Yes (if yes, please indicate the source of additional funding)
  
• No

Additional comments (please use the space here to provide any additional information you would like the review committee to note):

Please enter your full name here:

I am acknowledging that this is my electronic signature which I am signing and submitting through this electronic form by checking this button.
Signature acknowledgement. (This form will not be accepted without your signature acknowledgement.)