Wilfrid Laurier University  
 
Canadian Excellence

Student Life Levy Application

 


Please complete the following online form.

Applications due by February 24, 2014.
**The deadline has passed. Applications will be accepted again in September 2014**

Questions can be directed to Janet Robinson, Leadership Gift Officer at sll@wlu.ca

At the conclusion of the fiscal year, successful applicants will be required to submit an accountability report outlining how the funds were used,
the benefits of the project to the Waterloo campus, and how the gift from WLUSU was recognized.


I am a student who is applying for student-based project that is not associated with any academic department at WLU. I understand that, if my project is approved, WLUSU will manage the funds of the project.

Project Leader
Budget Manager
   
 
Name:
Name:
Title:
Title:
Department:
Department:
Email Address:
Email Address:
Phone Ext:
Phone Ext:

 

Project Title:
   
   

Project Summary:
(Please include a description of the project.)
(max 1250 characters or 250 words)

 


1250 characters left.
   
Have you applied for any other sources of funding?
Yes, I have applied to other sources.
   
If yes, please provide a brief description and amount of your request (include, if possible, when you will know if you are successful)
   

General Enhancement of Student Life:
(Please describe how your project will enhance student life on the Waterloo campus. In particular, your proposal should align with either increased opportunity for students to engage in activities leading to improved personal health & fitness or increased opportunity for students to engage each other and their environment in a culture of learning outside of physical classroom space.)
(max 1250 characters or 250 words)


1250 characters left.
   
Which units/departments/faculties have you consulted/collaborated with on this project?
   
Approximate number of undergraduate students from the Waterloo campus that will benefit from this project:
   

Budget Details:
(Provide a proposed budget for the project, including all sources of revenue and expenses. Please indicate if these expenses have been quoted by a third party)

   
Index Number:
(Please provide an index number where funds should be applied should your project be successful)
- 510105 (Grant - Special)
   
Student Life Levy Funding Request:
$
   

Privacy:


*

Please be aware that the terms of this application may be shared with The Cord and/or posted on Wilfrid Laurier University's website.

I have read and agree to the privacy statement above

 

   
Proposal Approval:

 

*

Proposals made by academic and adminstrative departments must receive prior approval from the Vice-President in your area.

My proposal has been approved by the Vice-President in my area

 

 

 

You will receive a confirmation email that your application has been received.

You will receive a second email in March 2014 advising if your application was successful.