Committee Funding Request Committee Funding Request Committees must receive notification of event approval prior to submitting a funding request. All requests submitted without event approval will be automatically denied. Committee Name*AnesthesiologyCardiologyCritical CareDermatologyDiagnostic RadiologyEmergency MedicineFamily MedicineGastroenterologyGeneral SurgeryGeriatric MedicineImmunologyInternal MedicineInterventional RadiologyNeurological SurgeryNeurologyObstetrics and GynecologyOncologyOpthalmologyOrthopaedic SurgeryOtolaryngologyPain MedicinePathologyPediatricsPhysical Medicine and RehabilitationPlastic SurgeryPsychiatryRadiation OncologySports MedicineThoracic and Cardiac SurgeryUltrasoundUrologyWilderness MedicineMilitary MedicinePhysician AssistantArtificial Intelligence in MedicineArts in MedicineBusiness and Innovation in MedicineCreative PracticeCultural CompetencyCC: Health Queer AllianceLocal, Global HealthMedical EducationMedBuddiesMind-Body MedicineNutritionHealth Policy and AdvocacyHPA: National Health PlanHPA: MedGators for HealthYour Name* First Last UFL Email* Enter Email Confirm Email Event Request Form Number*Input the form number correlated with your initial event request. Event Title*Utilize same event title used in initial event request. Event Type* General Meeting Workshop/Seminar Special Event/Series Date of Event* MM slash DD slash YYYY Event Time* Location* Attendance Expectancy*State how many students you anticipate will attend this event.Please enter a number greater than or equal to 1.Fund Category*What is the intended use of funds requested? Catering Materials/Supplies Other Expense Explanation*Provide a detailed explanation of proposed alternative usage of MCC funding. Please enter a number from 0 to 500.00.Amount Requested*Please see MCC Book of Bylaws for details regarding specific funding limits. If amount requested exceeds limits, MCC Advisor team review and approval will be required. Please enter a number from 0 to 500.00.Caterer Name*First refer to the MCC Approved Caterers List to determine available options. Requested caterers not found on the MCC Approved Caterers List will require MCC Advisor team review and approval. UF Approved Vendor Proof*Upload screenshot of vendor selected on UF approved vendor list (www.bsd.ufl.edu/catering/Caterers) Max. file size: 125 MB.Materials Requested*Refrain from purchasing materials out of pocket. The MCC Advisor team will work directly with you to purchase requested materials on your behalf if approved. Terms*By completing this request for MCC funding, you agree to submit the MCC Funding Follow Up Form if approved. Failure to do so, may prevent your Committee from requesting funds for the remainder of the academic year. I Agree FileMax. file size: 125 MB.