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Humanities Institute



Funding

Co-sponsorship Application Form


Contact
*Contact Name:
*Your Title:
*Department:
*Email: (please separate multiple emails with commas)
*Phone:
Event (grayed fields are sent to the DHI events calendar)
*Type of Event (conference, workshop, etc.):  

*Title of Event:
Part of an on-going series? Yes

No

Speaker (if applicable):  

Other Participants (if applicable):
*Event Date:
Event Time:
Event Location:
*Anticipated Attendance:
Support
Co-Sponsors (*Minimum 3; if more than 6, please list on budget breakdown)
Please do not use acronyms.
Dept/Program:
Amount Requested:
Pending:
Committed:
1.
HArCS Dean’s Office
2.
DSS Dean’s Office
3.
Provost’s Office
4.
ISS
5.
Department(s)







6.
Other







Please do not include a dollar sign ($) or text in the 4 fields below/ (Numbers only)
*Total Committed: $
*Total Pending(please enter 0 if there is no pending): $
*Total Event Cost (submit budget breakdown below): $
*Amount Requested from DHI: $
*Departmental Financial Officer:
*Departmental Financial Officer Email: (please separate multiple emails with commas)
*Project Description:
*Budget Breakdown:
Please enter the phrase “iamnotarobot” all one word and without the quotation marks:

This page was last updated: October 18, 2016

 

 

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