Experience Event Proposal Form for in-person Outdoor Events

This form is for Fall 2022/Spring 2023.

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. Please note that the faculty/staff sponsor is responsible for running OUTDOOR events and administering required surveys/quizzes.)

Title of Event *

Description of Event *
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 the box below. *

All boxes MUST be checked.

* As the event organizer, I confirm that THREE (3) Canvas surveys/quizzes will be administered on the Canvas EXPERIENCE COURSE during the event (one at the very beginning of the event, one in the middle of the event and one at the very end of the event) with at least 2 items each.

* As the event organizer, I understand that the Canvas surveys/quizzes must be time-sensitive, meaning that each one should only be accessible for 2-3 minutes.

* As the event organizer, I understand that failure to comply with the above requirements will result in students not earning Experience credit for this event since the Canvas quizzes/surveys are the only record of student attendance. No student monitors will be present at the event.

* As the event organizer, I understand that if there are any technical difficulties with Canvas during my event, students will not earn Experience credit for attending this event.

* As the event organizer, I understand that all participants and attendees must comply with the Community Care Compact – which could include mandatory masking – at all times during the event.

Preferred Date and Time

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: