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Program/Event Funding Application
Program Title: Location(s) of the Program Date(s) and Time(s) of the Program: Is this Location confirmed through the Office of Events Management?
Name of Sponsoring Organization: (ie - student organization, office, department, school, or college)Name of Co-sponsoring Organization(s) (ie student organization, office, department, school, or college)Contact Person (First and Last Name) PhoneEmail
Who will be the person in charge at/during the program/event? Description of Program Goals/Importance to the Mason at Arlington Community? (150 words):Description of target audience(s) and expected attendance (Mason students, faculty, staff, non-Mason attendees):How does your program fulfill the University Life Program Mission?Please check the Outcome(s) this program activity is intended to address:
Acquisition of new knowledge and understanding
Introduction/development of new skills
Impact attitudes and beliefs
Increase ability/commitment to apply what is learned
Contribute to sense of community
To Date, Please List Steps Made in the Planning Process (Advertising/Promotion? Identification/confirmation of presenters? Contact with caterer?):Program/Event Evaluation Plan (100 words):How will you evaluate the program/event? Determine if it is successful?Is this an annual or 1 time only program?
1 time only program
Please list all funding sources and amounts committed for your program (also indicate here whether you have requested funding from other source(s)):Please enter the amount budgeted for each of the following categories:
Advertising/Promotions: Speaker Fee: Equipment Events Production (A/V and technology needs): Facilities/Housekeeping: Food and Beverage (signed Food and Beverage Authorization required prior to event): Other (please specify): Admission Price/Ticket Fee: Anticipated Revenue from Fee: How will this revenue be used? TOTAL Program Budget: TOTAL Revenue from fees and other funding sources: TOTAL Amount Requested from University Life:
Questions regarding the approval process or application may be directed to:
Sophie Gorshenin 703-993-8984 or firstname.lastname@example.org.
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