Events & Programs Application Form

Name*

First Last

Email*

Requested Funding Amount (USD)*

Name of Event*

Name of Speaker, if confirmed

Name(s), Title(s), Department(s), and Contact Information of the Program Organizer(s)*

Describe the event or program, its importance, and its goals:*

Please indicate preferred (even tentative) date, time, location, and other event details:*

Describe your intended audience:*

Do you have an Event Coordinator on staff or will you need event planning support from the Humanities Center?*

Confirm the total EvP funding amount requested (up to $5,000)*

Provide a preliminary budget. Please list whatever donations or in-kind funds you expect to receive from other CSSH units or other organisations, if applicable:*

If you would like to attach a budget on an excel spreadsheet instead of filling out this section, please feel free to do so below.

File

Max. file size: 250 MB.

Please indicate any other Northeastern department(s) or external organisation(s) that are co-sponsoring the event; please indicate if these are prospective or committed, and if committed, any promised funding contribution: