Request Extra Funding

Suffix

Dr.

Ms.

Mr.

Mx.

Mrs.

Name (First & Last)*

Email*

Phone Number*

Is this request for you as an individual, or are you requesting support on behalf of a group?*

Individual

Group

If group, what is the organization affiliated with this request?

Are you currently a student at TCU*

Yes (Honors student)

Yes (not an Honors student)

No

Are you currently a faculty or staff member at TCU?*

Yes

No

If not a student, faculty or staff member, what is your affiliation with TCU?

Short title of request (limit to 150 characters)*

If granted, how will the Honors funds be spent? (Faculty/Staff: Please explain how this funding will directly involve students.)*

Total funding amount being requested from Honors*

Have you, or are you planning to request funds from other sources?*

Yes

No

If yes, please list those sources and amounts

Date by which funds are needed*

Date of event/travel funds will be used for*

John V. Roach Honors College