Experience Event Proposal Form for IN-PERSON Events (indoor or outdoor)

Fields marked with a * are required.

Who is proposing this event? *

faculty/staff
student (You MUST provide contact information for faculty or staff sponsor at the bottom of this proposal form before submitting.)

Title of Event *(must match the title provided in Event Manager)

Description of Event *(must match the description provided in Event Manager)
Please provide a description of your event that can be used for advertising purposes.

Information on the Presenters *
Please list the presenter(s) and some information about their credentials (or a link to a website with that information).

Description of Event’s Impact *
Describe how your event enriches the academic, intellectual, or cultural life of the college community AND relates to the general education program of the College.

What academic division/discipline is most closely represented by your event? * (For internal assessment purposes only.)

Copy confirmation email for reserved venue in box below. *

Preferred Date and Time (must match the preferred date and time provided in Event Manager)

Month *

Day *

Year *

Time *

AM/PM *

Contact Information

First and Last Name (faculty/staff proposals)

Organization *

Phone *

Email *

First and Last Name (student proposals)

Organization *

Phone *

Email *

FACULTY/STAFF SPONSOR First and Last Name *

FACULTY/STAFF SPONSOR Phone *

FACULTY/STAFF SPONSOR Email *

Admission Fee

How is the fee collected?

Approximate Length of Event (Hours) *

Approximate Length of Event (Minutes) *

Requested Funding

Funding Spending
Please indicate how funding will be spent.

* In order to prevent abuse of this form, please enter the red letter from the image below: