Experience Event Proposal Form for Virtual 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 VIRTUAL events and administering required polls.)

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.)

All boxes MUST be checked.

* As the event organizer, I confirm that at least TWO (2) polls/questionnaires will be administered during the event (one in the middle and one at the end) with at least 3 items each. I understand that failure to comply with this requirement will result in students not earning Experience credit for this event.

* As the event organizer, I agree that all students must pre-register on Zoom webinar for the event using their Albright email address.

* As the event organizer, I understand that the event will have to be re-scheduled in case of any technical difficulties with Zoom webinar before or during the event in order for students to earn Experience credit.

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: