Summer/Winter/Extracurricular Programs and Activities

Use this form to submit a proposal to the Program Coordination Committee.

Summer/winter programs and extra curricular are for members and their guests.They should budget to break even. If your program is designed for the general public and/or if you are requesting financial support from FCLIR to help cover expenses, please use the proposal form for special programs and events. If you are proposing a Short Summer or Winter Seminar (one to five meetings, outside of the regular 10-week semesters) please use proposal form for intersession seminars and workshops.

*All starred fields on this form must be completed.

The starred items are required for initial consideration by the Program Coordination Committee, but please fill out as much as you can. Rough estimates of costs and potential dates are helpful. The Committee can assist you in developing a more detailed proposal.

Submission Date*

MonthDayYear

Title of project:*

A working title; you can change it later

Name of person(s) submitting this proposal:

Primary contact:*

First NameLast Name

Email of primary contact:*

example@example.com

Phone number:*

Area CodePhone Number

Additional contact:

First NameLast Name

Email of additional contact:

example@example.com

Phone number:

Area CodePhone Number

Description of program or activity (max of 250 words):*

Please include minimum and maximum number of participants desired.

Proposed date(s):

You may suggest a range of dates, e.g., "between January 15 and February 20", or "summer 2024". Final dates must be coordinated with the FCLIR office manager.

Minimum and/or maximum number of participant

Is there a minimum number of participants required to make the budget work? Is there a maximum number of participants that can be accommodated?

Preliminary Budget

Total income:*

Estimated total from all sources. May be zero.

Fees:

Estimated income from fees charged to participants

Other income:

Other sources with estimated amounts

Total expenses:*

Estimated total expenses.

Transportation:

Estimated cost

Tickets or admission:

Estimated cost, total or per person

Honoraria:

Speaker fees, etc.

Space rental:

Estimated total

Food/catering:

Estimated total, total or per person

Other expenses:

Other expense categories with estimated amounts

Additional budget information:

You may add information here, such as proposed venues, ticket prices, or meal options. If you provided some per-person expense estimates, what did you use for the number of participants in estimating total expenses?

Propose a Summer/Winter Program or Extracurricular Activity