Student Initiative Fund: Recipient Recap and Reimbursement Request

Student Initiative Fund: Recipient Recap

Name(Required)

First Last

Email(Required)

Student Organization Receiving Funding:(Required)

Project/Event:(Required)

Date and Description of Event/Program:(Required)

Please attach a document with names and email addresses of participants (Excel preferred):(Required)

Max. file size: 50 MB.

Any issues/lessons learned/areas for improvement?

Please describe how and where the UVA Medical Alumni Association was recognized in marketing this event/program:(Required)

Please attach any photos from the event. These photos may be shared by the MAA via social media or marketing materials.(Required)

Drop files here or

Max. file size: 50 MB.

Please attached receipt(s) for proof of purchases. Receipts must be scanned/photographed and compiled into one PDF. All receipts must show the following: date, vendor, items purchased, total cost. Reimbursment will be grated up to the pre-approved amount.(Required)

Drop files here or

Max. file size: 50 MB.

Name of person who should be reimbursed:(Required)

First Last

Address to which the reimbursement check should be mailed:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Resources For...

Students

Alumni

Housestaff

Faculty

Student Initiative Fund: Recipient Recap and Reimbursement Request

Student Initiative Fund: Recipient Recap and Reimbursement Request

Student Initiative Fund: Recipient Recap