Request Form for the Medical Student Fund Please submit all event proposals at least 30 days in advance of the event. Allow at least two weeks for a response from the SAFC. Thank you! "*" indicates required fields Point of Contact InformationName* First Last IU Email Address* PhoneEvent InformationEvent Name* Event Date* MM slash DD slash YYYY Event Location* Type of Wellness EventIf applicableEmotional WellnessEnvironmental WellnessFinancial WellnessIntellectual WellnessOccupational WellnessPhysical WellnessSocial WellnessSpiritual WellnessBriefly describe the eventTotal Number of Expected Attendees*you will need to provide a guest list after the event, for now please include approximate number of RSVPsExpected Number of IU Employees AttendingExpected Number of IU Students AttendingExpected Number of Non-IU AttendeesFundingAre you requesting funding for your event? Yes No Please outline the proposed budget.*Cost per student* What class year(s) would the funding requested benefit?*Select all that apply. Class of 2023 Class of 2024 Class of 2025 Class of 2026 Class of 2027 Vendor/Supplier Name? CAPTCHA