Propose a 5CLIR Project or Event

Use this form to submit a proposal to the Special Programs sub-committee. If your event is for members only and you are not requesting financial support from FCLIR to cover expenses, please use the Summer/Winter/Extracurricular Programs proposal form, the Intersession Seminar/Workshop proposal form, or the proposal form for regular Fall or Spring seminars or workshops.

*All starred fields on this form must be completed.

The starred items are required for initial consideration by the Special Programs sub-committee, but please fill out as much as possible. Rough estimates of costs, potential speakers, and suggestions for locations and dates are all helpful. Please indicate whether these are currently only estimates or ideas.

Submission Date (today's date)*

MonthDayYear

Title of the project or event:*

0/50

Primary Contact person:*

First NameLast Name

Email address:*

Phone Number*

Area CodePhone Number

Additional Contact person:

First NameLast Name

Email address:

Phone Number

Area CodePhone Number

Description of the project (maximum of 250 words):*

0/250

Who is the intended audience?*

0/50

Location(s) where the event will be held:

0/50

Will you partner with another institution? If so, describe the nature of the partnership:

0/50

Participants: Speakers, Presenters:

0/50

Amount of financial Support Requested from 5CLIR:

Granting agencies to which you are applying for support:

0/50

Will the event be free, or will there be admission charged? If so, how much?

0/50

Proposed date(s) for the event (note that dates must be coordinated with the 5CLIR calendar):

0/50

Project budget estimate : (enter details below)

Fees for speakers, honoraria, etc:

Space rental:

Overnight housing for speakers/ participants:

Food/ catering:

Advertising & printing:

List any relevant experience you have had in planning this type of event:

0/50

When you click the submit button, your proposal will automatically be emailed to the Special Projects subcommittee, to the FCLIR office, and to the e-mail address you supply below. If you are not contacted by the subcommittee within two weeks, please contact the FCLIR office to follow up.

The Special Projects subcommittee will request copies of supporting documentation as required.

E-mail*