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  1. University of Arkansas for Medical Sciences
  2. Regional Campuses
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  7. Farm Bureau Fund for Excellence Funding Request

Farm Bureau Fund for Excellence Funding Request

MASH Camp Funding Request and Document Submission Form

MM slash DD slash YYYY
Community Director's Name(Required)
Is this your first funding request for this MASH/CHAMPS event?

If yes, UAMS Regional Programs staff will be happy to help get the process started. Please provide some information about your camp below.

Please enter the estimated number of students you plan to accept into your camp.
MM slash DD slash YYYY
Camp Address(Required)
List of Vendors -Please list any vendors you typically use or plan to use for lunch, supplies, training materials, etc. UAMS Regional Programs will need to register each company as a vendor. Establishing a company as vendor does not require you to use them if you decide to go with another company, but having your options set up early will help with invoicing later.
For each vendor please list the following information if available: company/organization name, contact information (email or phone number), address, and goods and services. If you have an estimate of the expense please provide that in the same space.
Company/Organization that check will be issued to
Contact Information (phone/email/address)
Goods & Services
Estimated cost
 
Drop files here or
Max. file size: 15 MB.

    If this is not your first funding request for a MASH/CHAMPS event, and you are submitting documents and/or invoices for training materials and/or lunches/refreshments, please provide the name of your camp so that we know which event record to apply this request to. Attach documents and invoices below and give a brief description of the attachments.

    List of Vendors -Please list any vendors you typically use or plan to use for lunch, supplies, training materials, etc. UAMS Regional Programs will need to register each company as a vendor. Establishing a company as vendor does not require you to use them if you decide to go with another company, but having your options set up early will help with invoicing later.
    For each vendor please list the following information if available: company/organization name, contact information (email or phone number), address, and goods and services. If you have an estimate of the expense please provide that in the same space.
    Company/Organization that check will be issued to
    Contact Information (phone/email/address)
    Goods & Services
    Estimated cost
     
    Drop files here or
    Max. file size: 15 MB.
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