PROGRAM TITLE:

Sponsoring Organization Information
1. Name of Sponsoring Organization (office, department, school or college):
   
2. Name of Co-sponsoring Organization(s) (office, department, school or college):
   
3. Contact Person (First and Last name):
4. Contact Phone Number: 
5. Contact E-mail Address:
   
6. Who Will Be The Person In Charge AT THE EVENT?:
   
7. Is This An Annual Event or 1 Time Only Program?: Annual     1 time only
   
8. Description of Program and Program Rationale (150 words):
   
9. Date(s) and Time(s) of Program:
10. Location(s) of Program:
    Is this location confirmed through the Office of Events Management?: Yes     No
11. Description of Target Audience and Expected Attendance:
    
12. Describe the Connection Between this Program and the Program Grant Mission:
13. What scholarship/body of literature, if any, informs this grant proposal?
    
14. What will attendees learn from this program and how will this learning occur?
    
15. What forms of advertising will be used to notify the campus community of this program?
    
16. What specific academic connections, if any, will be made for this program?
    
17. How will the success and learning outcomes of this program be evaluated?
    
18. For Faculty: Will you require the assistance of an expert event planning consultant from ULPC in order to advise on the execution your proposed idea?

    Yes
    No
    

19. To Date, Please List Efforts Made For this Program:
    

Budget Information

20. Please list all anticipated funding sources and amounts for your event:
    
21. Please enter the amount budgeted for each of the following categories:

    Advertising/Promotions:	$
    Entertainer/Speaker Fee:	$
    Equipment:	$
    Events Production: (A/V & technology needs & wages)	$
    Police:	$
    Food and Beverage*: *If using Mason catering, signed Food & Beverage Authorization required prior to event.	$
    Other (Please Specify):

22. Admission Price/Ticket Fee: $
23. Anticipated Revenue: $
24. How Will Revenue Generated Be Used?:
    
25. TOTAL Program Budget: $
26. TOTAL Amount Requested from ULPC: $