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Black History Month Event Proposal Form

Theme:

"There is no passion to be found playing small -

in settling for a life that is less than the one you are capable of living."

- Nelson Mandela



In an effort to raise campus wide awareness of Black History Month and the LMU black community, the Office of Black Student Services celebrates the month with a variety of events. We invite and encourage you to submit a proposal. Please note, fields that state “required” must be completed. Also, please take into consideration that all proposals and funding requests are pending until approved.

DEADLINE FOR PROPOSAL SUBMISSION: Friday, November 6, 2009
Page 1 of 1
Person Submitting Proposal
Organization
Event Contact Person(s)
Contact Number
 
Contact E-mail
 
Event Title
Event Description (Five Line Limit)
Explain how your event relates to the 2010 Black History month theme (Five Line Limit):
Outdoor Amplification
YesNo
Off-Campus Vendors
YesNo
Please list Off-Campus Vendors (n/a if not applicable)
Event Performers
YesNo
Expected Attendance
Off-Campus Guests (n/a if not applicable)
Presenter 1: Name and Institution or Professional Affiliation
Presenter 2: Name and Institution or Professional Affiliation
Proposed Date and Time (Option 1)
Pick date
:
Proposed Date and Time (Option 2)
Pick date
:
Publicity: Please provide the methods of publicity (i.e., flyers, internet, and other) and the projected cost.
Food: Catered
Yes
No
Food: Name of Caterer
Food: Please check all that apply.
Breakfast
Lunch
Dinner
Desserts
Refreshments
Drinks
Alcohol Beverages
Other
Food: Please provide the projected cost for food.
Supplies: Please provide supplies that will be needed (i.e., decorations) along with the projected cost.
Speakers/Honorarium: Please provide the name of the speaker(s) and the projected fee.
Entertainment: Please specify type of entertainment (if any i.e., DJ, band) and the projected cost.
Other:
Contribution from Co-Sponsor/Organization: Please list any and all monetary contributions from co-sponsors or organizations.
Total Dollar Amount Requesting: