Application form SHoT fundings

Application form for funds to student health

Application date:

Campus:

Information about the applicant

Enter either date of birth or organization number.

Name of applicant or student association:

Date of birth:

Organization number:

Contact person for the project

Full name:

E-mail:

Tel.

Description of project / activity / measures

The project may have a short title. Describe the project, how the funds will be used and how it can contribute to the purpose.

Include how the compliance with current infection control regulations are taken into consideration.

If you like you may include the description in a separate attachment.

Title:

Project description:

Upload project description (double check that the file is actually uploaded):

Budget

Set up main budget items describing how the funds will be used. You may also use your own attachment. If you have applied for other funds for the same project, please include that information here.

Budget items:

Total amount you apply for:

Upload budget (double check that the file is actually uploaded):

Bank account information

Bank account:

Account owner:

Accounting and reporting

Within 1 month after the project has been completed, an account must be submitted showing how the amount has been spent (according to the budget) as well as a short report on the activity. Accounts and report must be sent to ost@studentinord.no

Responsible for accounting and reporting:

Tel.

E-mail:

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