Fee Intent Form Please fill out this form if you or the organization that you represent intend on creating or removing a new student lock-in fee, or increasing or decreasing an existing lock-in fee. If your organization currently has a lock-in fee that does not need modification, there is no need to fill out this form.Sponsoring department/organization(Required)Contact person and relation to the sponsor(Required)Contact person's email(Required) The purpose of this fee(Required) Create a fee Remove a fee Increase or Decrease an existing fee Creating a FeeNOTE: All new fees and increases to existing fees will be required to carry a 25% return to aid surcharge (RTA) and a 1% AS Administrative fee. Please factor the surcharge and fees into the amount you are requesting. Students will vote on the total and be informed that 25% and 1%, of that total is for the surcharge/fees. The RTA is 25% and 1% AS Admin fee of the total fee after the surcharge is added to the base fee. For example, if your program requires $1.00 per student per quarter base fee, the total fee amount on the petition and ballot will be $1.26 (Please refer to past supplement page on the election website for additional examples). Additionally, all new fees and increases to existing fees will be required to carry an administrative assessment, to be determined by the Office of Budget and Planning, between 3-8% (will probably be 7%). Final amount will be determined during winter quarter.Requested quarterly fee amount?Summer Fee amount (if different)Does your department/organization already have a mandatory fee. Yes No Please give the quarterly amount, lost all sources and amounts (e.g.) CEC, A.S., GSA) and describe who pays it (undergrads, grads) and what program(s) it supportsWhat title will you give the fee for the ballot?Petition LanguagePlease review previous ballots for examples (on Elections board website)When will your fee beginThis fee will provide:(150 words max)This fee is in addition to:(insert fees currently being collected)Editing a FeeNOTE: All new fees and increases to existing fees will be required to carry a 25% return to aid surcharge (RTA) and a 1% AS Administrative fee. Please factor the surcharge and fees into the amount you are requesting. Students will vote on the total and be informed that 25% and 1%, of that total is for the surcharge/fees. The RTA is 25% and 1% AS Admin fee of the total fee after the surcharge is added to the base fee. For example, if your program requires $1.00 per student per quarter base fee, the total fee amount on the petition and ballot will be $1.26 (Please refer to past supplement page on the election website for additional examples). Additionally, all new fees and increases to existing fees will be required to carry an administrative assessment, to be determined by the Office of Budget and Planning, between 3-8% (will probably be 7%). Final amount will be determined during winter quarter.Are you increasing or decreasing a fee?(Required) Increasing Decreasing Increasing FeeWhat is the name of the fee you would like to increase?(Required)Current amount received(Required)Proposed amount after increase(Required)Summer amount (if different)What will this increased fee be used for?(Required)(150 words max)Decreasing FeeWhat is the name of the fee you would like to decrease?(Required)Current amount received(Required)Proposed amount after decrease(Required)Summer amount (if different)Why should this fee be decreased?(Required)(150 words max)Removing a FeeWhat is the name of the fee you would like to remove?(Required)Current amount received(Required)Why should this fee be removed?(Required)(150 words max)QuestionsAny final questions or concerns you may have.Also feel free to reach out to the elections board at elections@as.ucsb.edu
Recent Comments