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.) Academic Division/DisciplineFine Arts (FA)Quantitative Reasoning (QR)Social Sciences (SS)Interdisciplinary (ID)Natural Sciences (NS)World Languages and Cultures (LC)Humanities (HM) 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 * MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day * Day12345678910111213141516171819202122232425262728293031 Year * Year2021202220232024 Time * Time12:0012:301:001:302:002:303:003:304:004:305:005:306:006:307:007:308:008:309:009:3010:0010:3011:0011:30 AM/PM * AM/PMampm 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) * Hours123456789101112131415161718192021222324 Approximate Length of Event (Minutes) * Minutes0010152025303540455055 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: