Program/Event Funding Application

Program Title:

Date(s) and Time(s) of the Program:

Location(s) of the Program:

Is this Location confirmed through the Office of Events Management?
Yes
No

Sponsoring Organization Information

Name of Sponsoring Organization (student organization, office, department, school, or college):

Name of Co-sponsoring Organization(s) (student organization, office, department, school, or college):

Contact Person (first and last name):

Phone Number:

Email Address:

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 Sodexho or 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?:
Annual
1 time only

Please list all funding sources and amounts committed for your program (indicated here whether you have requested funding from another source):

Please enter the amount budgeted for each of the following categories:

Advertising/Promotions: $
Speaker Fee: $
Equipment: $
Events Production (A/V and technology needs and wages): $
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: $