Request For Diversity Project Funding

No funds distributed without application form.
All applications must be submitted electronically.

Deadlines:

Fall 2009:          9/23/2009
Spring 2010:    1/10/2010
Summer 2010: 5/9/2010

1.Requester

Name of the Organization or Department
Agency Acct#
Contact Person and Title
Phone Number or Ext.
Email Address
2.Project Description
Name of Project
Date and Time of Project
Total Amount of Funding Requested
Target Audience
Expected Attendance
Describe how the event will address issues of diversity specific to Indiana State University; describe the learning objective for your event.
3.Collaborative Efforts
List all the names and responsibilities of project partners
4.Project Budget(answer all that apply)
Estimated cost for space reservations 
Estimated cost for advertising
Estimated cost for printing and copies
Estimated cost for prizes and incentives
Estimated cost for music/sound system
Estimated cost for tents/tables
Estimated cost for transportation
Estimated cost for others please list
Estimated cost for Speaker (please complete #6)
*Note:The Office of Diversity does not supply funding dollars for food
Total Project Funding Plan
List all funding sources, amounts and anticipated fund usage

5.Advertisement

List the ways project will be advertised
*Note:The Office of Diversity name must appear on all funded project advertisements.
6.Funding Additional Info for Speaker or Performer
Name of the Speaker or Performer
Title of Speaker or Performer
Area of Expertise (Send Resume to mary.ferguson@indstate.edu)
Address of Speaker
Telephone
E-mail Address
Speaker's Social Security Number
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