Civic Engagement Fund Distribution Request CEF Fund Distribution Request Gephardt Staff Member Name Grant ID (fund name, semester (FA/SP), year, grant number, ex: smallchangeSP20201) * Amount of Funds to be Distributed (please list full amount of award and amount to be distributed with timeline) * First Name of Primary Grant Contact * Last Name of Primary Grant Contact * Email Address of Primary Grant Contact * Phone Number of Primary Grant Contact * First Name of Secondary Grant Contact Last Name of Secondary Grant Contact Email Address of Secondary Grant Contact Payment Type * ID Reimbursement Other Payment Type Type of Reimbursement Individual Department Individual Name, Student/Employee ID, and Address Department Name and Department Billing Number If Department Reimbursement, Please Provide The Name, E-mail, and Phone # for Departmental Accounting Contact Project Title Additional Info Please upload any additional information here (rosters, grant proposal, etc.). Drop a file here or click to upload Choose File Maximum upload size: 51.2MB If you are human, leave this field blank. This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Submit