REGIONAL FUNDING REQUEST The Society provides support on request to the National Office to defer related expenses of participating chapters. Please note: Funding requests must be made and approved prior to the scheduled event utilizing the Funding Request Form. Date of Planned Event Name of Event Anticipated Number of Attendees Organizing Chapter University/College Region Chapter Contact Person Chapter Contact Title Contact Telephone Contact Email Attendees Chapter Name University/College Attach additional sheet for attendees (if needed) Schedule of Events (Seminars/receptions/programming) Budget (Room rental, food, meeting costs, travel) Following the event, a written summary must be provided to the National Office within ten (10) days. Please submit request to: Rho Chi Society National Office, UNC Eshelman School of Pharmacy, CB#7569, 3210 Kerr Hall, 311 Pharmacy Lane, Chapel Hill, NC 27599-7569