Faculty/Staff Online Proposal SubmissionExperience Event Proposal Form Fields marked with a * are requiredTitle of Event * Description of Event * Please provide a description of your event that can be used for advertising purposesInformation 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 communityPreferred Date and TimeMonth * MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberDay * Day12345678910111213141516171819202122232425262728293031Year * Year2017201820192020Time * Time12:0012:301:001:302:002:303:003:304:004:305:005:306:006:307:007:308:008:309:009:3010:0010:3011:0011:30AM/PM * AM/PMampmIf the venue is not listed, please select “Other” and enter the name of the venue in the space provided below.Venue * selectBollman Center (BC)Campus Center Conference Room (CCCR)Campus Center Main Lounge (CCML)Campus Center South Lounge (CCSL)Campus Center South Lounge-West End (CCSL-W)Center for the Arts Mezzanine (CFA-Mezz)Klein Lecture Hall (CFA 235)Dining Hall (DH)Faculty Club (FC)Jake’s PlaceKachel Chapel/Teel Hall (KC)Life Sports Center (LSC)MPK Memorial Chapel (MC)Wachovia Theatre (WT)Pushman Cottage (PC)Roop Hall (RH)Science Center 256 (SCI)Sylvan Chapel (SC)Other (OTH)Other Venue: Contact InformationFirst and Last Name * Organization * Phone * Email * Admission Fee How is the fee collected? Approximate Length of Event (Hours) * Hours123456789101112131415161718192021222324Approximate Length of Event (Minutes) * Minutes0010152025303540455055Requested 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:
