SW-studentenwelzijnssubsidie

Heidelberglaan 8
Postbus 80125
3508 TC Utrecht
Tel: 030-253 7000

Personal Details Applicant

Name applicant:

E-mail address applicant:

Telephone number applicant:

Study programme applicant:

Student Organization Details

If the application is made from a student organisation please also complete the following sections:

Name of student organisation:

Position of the applicant in the organisation:

Type of organisation:

Labour Market

Culture

Social

International

Umbrella organisation

Philosophical

Representation

Sports

Study (Association)

Other

Name of chair of organisation:

Telephone number organisation:

Activity/event/initiative/research

Name of the activity/event/initiative/research:

Short description of the activity/event/initiative/research to be subsidised:

What grant amount are you requesting from UU?

Where is it taking place?

When is it taking place?

What is the objective of the activity/event/initiative/research?

How often will it be organized?

Who is the target audience?

Who is the activity/event/initiative/research open to?

All students

Students and staff

A part of the students, namely:

Overig: Overig:

How many participants are expected?

In what ways will the activity be brought to the attention of the target audience?

In what ways does this activity link to the theme student wellbeing and/or the student wellbeing work programme?

In what ways will the name of the UU be visible?

IBAN-number applicant or student organization:

In the name of:

Address

Postal code and city

Budget:
Note: In the budget, income and expenses are put under each other. The amount for income and expenses should be the same.
In this section you can copy-paste

Comments/notes on the budget:

Concise action plan or summary schedule of the initiative/research:

Any additional comments: