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Gertrude Murrell duPont Funding Request

The University of Richmond duPont Fund was established to enable students who qualify to attend cultural events. Any faculty member may apply, as long as the appropriate approval process is followed. In order to be considered for funding, the event must be a faculty-sponsored group trip to attend events of musical, theatrical, dance, or artistic interests in Richmond and other major nearby cities such as Washington D.C., Baltimore, Philadelphia, and New York City.

* Indicates a required field

All requests for group duPont funding must be submitted no less than 4 weeks in advance.

* Name

* Email

* Department

* # of students attending

* Beginning Date

* Ending Date

Funding Parameters

No funds will be transferred between internal indices. Invoices must be paid directly, or receipts submitted for individual reimbursements. All documents should be submitted directly to Vittoria Tripp, Center for Student Involvement. (vtripp@richmond.edu / ext. 8507). The space below is designed to accommodate multiple events within the SAME trip. If you are requesting funds for different trips, SEPARATE forms must be submitted.

The duPont Fund typically covers up to 75% of the expenses.

*Name of Event #1

Cost of Individual Ticket - Event #1

* Estimated Total Cost of Tickets - Event #1

Name of Event #2

Cost of Individual Ticket - Event #2

Estimated Total Cost of Tickets - Event #2

Name of Event #3

Cost of Individual Ticket - Event #3

Estimated Total Cost of Tickets - Event #3

Name of Event #4

Cost of Individual Ticket - Event #4

Estimated Total Cost of Tickets - Event #4

Name of Event #5

Cost of Individual Ticket - Event #5

Estimated Total Cost of Tickets - Event #5

Name of Event #6

Cost of Individual Ticket - Event #6

Estimated Total Cost of Tickets - Event #6

Name of Event #7

Cost of Individual Ticket - Event #7

Estimated Total Cost of Tickets - Event #7

Name of Event #8

Cost of Individual Ticket - Event #8

Estimated Total Cost of Tickets - Event #8

Transportation

Transportation Arrangements - #1
If you are driving, you must be on the University Approved Driver's List.

Transportation Arrangements - #1
Total Cost:

Transportation Arrangements - #2
If you are driving, you must be on the University Approved Driver's List.

Transportation Arrangements - #2
Total Cost:

Transportation Arrangements - #3
If you are driving, you must be on the University Approved Driver's List.

Transportation Arrangements - #3
Total Cost:

Summary

TOTAL Transportation Expenses

TOTAL Ticket Expenses

Amount Contributed By Department and/or Other Sources
Please list all sources, amounts, and the specific intention of each particular contribution.

Total Amount Requested from duPont
Tickets + Transportation - Department Contribution =

University Travel Requirements

As per the Risk Management office, the faculty member responsible for students during this trip/event must provide/collect the following information.

Driver(s)

* Contact Name & Number in the Event of Emergency

REQUIRED information to be collected from all students in attendance.
Please indicate below that you will be collecting all of the following information to be kept confidentially on file in your departmental office. If you do not have the university approved forms available in your department, please email Vittoria Tripp (vtripp@richmond.edu) for a copy to be sent to you.

Authorization for Emergency Medical Treatment
Release and Indemnification Agreement

Any other information you wish to share about this trip/event:

Staff Contact

Vittoria Tripp
Office Operations and Budget Coordinator
vtripp@richmond.edu
804-289-8507