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CLGBTQE 2016-17 Funding Request Form

The following information will help to assist us in our decision making process.
Have you requested funding from other sources?:  


If yes, please complete the following:
If Penn State campus request, please complete. Please provide the name and e-mail address of the Financial Officer who will process the transfer.
If Student Organization, please complete.
If other group, please complete. Please provide the financial contact person's name and e-mail address.

Thank you for submitting your request for CLGBTQE funding. A representative from CLGBTQE will be in touch soon.