Program Proposal/ON-CAMPUS Service Proposal

Club/Organization*

Event Title:*

Event Start Date:*

Event Start Time:*

: HH

MM

Event End Date:*

Event End Time:*

: HH

MM

Requesting Member Name*

First Last

Requesting Member Email*

Enter Email Confirm Email

Your Club Position*

Advisor(s)*

Name	Email

Click the + button to add another advisor

SPECIFIC Event Location (Building & Room)*

Who may attend? (Please check all that apply)*

BROOKDALE Students
Faculty/Staff
Community Members
Club/Org Members ONLY

Will you be selling tickets at the SLC Ticket Window?*

YES
NO

If YES above, how much? (Please note different prices for different groups)

Please provide a description of your event, including any speakers, logistics, supplies needed, food required, etc...*

How Does This Event Fit Into The Mission Of Your Organization?*

How Is This Event Unique In Nature?*

Will you be receiving any help from another club, organization, College department, or off-campus group?*

YES
NO

If YES above, Please Describe The Support You Are Receiving

Will You Be Serving Food At Your Event?*

YES
NO

If yes, be sure to submit the Student Catering Order Form to Student Life & Activities in a timely manner. Catering forms should be submitted at least 3 business days prior to your event.

Would you also like to propose this event to fulfill your Club/Orgs Community Service Requirement?*

YES
NO

Please fill out this section if the event you are proposing is an ON-CAMPUS community service event. Each club and org is required to do one community service activity per academic year. Pending approval and after the event takes place, you must then fill out the corresponding Community Service Activity Sheet. PLEASE NOTE: Filling out this section of the proposal does not automatically mean this event will count towards your requirement. It needs to first be approved by Student Life & Activities.

Outside Agency (if applicable)

Contact Person from Outside Agency

First Last

Contact Person Phone Number

Contact Person Email

Performer/Speaker

Cost	Description

Food

Cost	Description

Equipment Rental

Cost	Description

Decorations/Supplies

Cost	Description

Other

Cost	Description

Other

Cost	Description

Other

Cost	Description

Amount Contributed From Your Club's Budget: (Answer 0 if none)*

Amount Contributed From Your Club's Raised Funds: (Answer 0 if none)*

Expected Income From Ticket Sales: (Answer 0 if none)*

Money Contributed From Other Sources: (Please specify, Answer 0 if none)*

Amount	Description

TOTAL REQUESTED FROM SLB FINANCE COMMITTEE: (Answer 0 if none)*

GRAND TOTAL EXPECTED COST: PLEASE NOTE: This is the TOTAL COST of your event, including any money from your club budget/income, other departments, and the Student Life Board. Please break down the different contributions above (Answer 0 if none)*

If you have any additional information to be considered, please upload it here

(Speaker bios, room layouts, etc...)

Student Life & Activities Program Proposal/ON-CAMPUS Service Proposal