UM School of Information (UMSI) DEI Funding Request Form

UM School of Information (UMSI) DEI Funding Request Form

For UMSI Students, Staff and Faculty
Only UMSI students, staff or faculty may request UMSI's DEI funding using this form. If you have questions or want to discuss your request at any point, please contact the UMSI DEI Office at umsi.dei.funding@umich.edu. Before completing this form, review details and funding criteria on the DEI funding web page.

Please submit requests at least 4 weeks in advance of your program or event and at least 5-6 weeks in advance of conference date to allow for reasonable airfare and hotel. We will do our best to respond to your request within 3 business days and to provide a decision within 1-2 weeks. DEI funds will be awarded until the annual available budget is expended.

NOTE: If you are from a University of Michigan group or unit outside of the UM School of Information and are seeking co-sponsorship for a DEI-related activity or event that would be open to and of interest to the UMSI community, please email your request to umsi.dei.funding@umich.edu.
Date of form submission:*

MonthDayYear
How did you hear about UMSI DEI Funding? Select all that apply:*

Email from UMSI DEI OfficeUMSI Office of Academic and Student Affairs (OASA) newsletterUMSI web siteUMSI social media postAt a UMSI DEI presentation (orientation, community gathering, workshop, etc.)From a fellow UMSI community memberOther
Name*

First NameLast Name
Umich email address*
example@example.com
Affiliation with UMSI*

BSI StudentMADS StudentMHI StudentMSI StudentUMSI PhD StudentUMSI Staff MemberUMSI Faculty Member
For what DEI related purpose are you requesting funding? If your current request involves more than one of the following, select more than one. If you have more than one request, please submit the form again.

UMSI guest lecture, talk, seminar or presentationWorkshop(s) or training session(s)Community event or activityUMSI Student Group sponsored activityResources or materialsDEI-related research project or fieldwork (including dissertation research)Other DEI related inititiativeDEI Faculty or Staff Conference Funding (Students seeking conference funding should apply through M-Compass)
Name or title of the event, research project, activity etc. for which you are requesting funding:*
Date, time, location as applicable (for virtual event please provide details or link):*
If this activity, event, program, or initiative is associated with a specific group or student organization, please specify below; or indicate not applicable (N/A).
If you have a co-sponsor for this activity, event, program, or initiative, please specify below, or indicate not applicable (N/A).
Indicate the amount requested and budget for use of funds. Note: For guest speaker or other events include any speaker fee, room reservation, hosting/catering and/or other expenses. For special initiatives include cost of any materials, fees or other expenses. DEI funding may not cover the full cost. [Reminder: Students interested in attending or presenting at a DEI-related conference should request funds through M-Compass-- the M-compass link is available on the DEI funding page]. *
Purpose or goal of activity, event, program, travel, or initiative (e.g. to advance my research agenda on... to raise awareness and educate our community about....)*
Describe your plan to make this event, experience, or activity successful (i.e. your event planning process including publicity plan and expected audience, or your plan for participation in an activity or program). If you prefer to upload a document, type "see attached document" and use the following item to upload your file.*
If preferred, you can upload a file with your program, activity, or event plan. Type "see attached document" in the response field above and attach document below.

Cancelof
If you have applied and/or received funding from other sources for this request, please list here or indicate not applicable (N/A). Note: PhD students seeking funding for research should first consult with your advisor and seek funding from Rackham graduate school. :*
Additional comment or question for our follow up:
Should be Empty: