UC Blue Ash: Student Group Deposit Form

Form fields marked with an asterisk (*) are required.

This form is for any deposit requesting to be made into the UC Blue Ash College PNC Legacy Account from fundraising, dues, or fees.

Name of Person Submitting Form

Email of Person Submitting Form

Phone Number of Person Submitting Form

Student Organization/Affinity Group

First & Last Name of Advisor (if not person submitting form)

Email of Advisor (if not person submitting form)

Total Deposit Amount

Please describe the activity/event where fundraising took place, including the dates.

Upload any statements/documents relating to the deposit.