Program Proposal and Planning Form (In-Person Event)

Educational Program Proposal and Planning Form

For In-Person Events
This form is to be completed for every program included on the ASCA Calendar of Events. Contact the ASCA Office with questions at asca@theasca.org or 979-589-4604.

Please submit the form at least 30 days prior to the program. If you are spending ASCA funds, a zero-based budget must be submitted with this request.

The ASCA Central Office staff will work with you to plan, promote, and actualize your program. Be advised that we will do our best to accommodate all requests made, however, flexibility regarding dates and times may be necessary depending on other events and our program schedule. Thank you.

For your convenience, please gather all information related to program content, dates/times, on-site logistics, and anticipated expenses prior to beginning this form.

Financial & Logistical Considerations
In-Person meetings such as seminars, drive-ins, and conferences require careful consideration of anticipated expenses prior to determining an appropriate fee to charge participants. The following worksheet is intended to help guide the beginning stages of this planning process.

Please feel free to contact ASCA Deputy Director Christine Simone, christine@theasca.org, for assistance with this section of the form.
Program Location/Venue*
Location/Venue Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is there a cost associated with use of this venue?*

YesNo
What is the total cost of using this venue for the event?*
Hotel Information & Cost:*
Parking Information & Cost:*
Meal Information & Cost:*
Do you anticipate inviting a paid speaker?*

YesNo
Which of the following do you plan to provide for your speaker(s)?*

HonorariumTravelHotelMeals
Budgeted Honorarium:*
Monetary amount & rationale
Budgeted Speaker Travel Expense:*
Monetary amount & rationale
Budgeted Speaker Hotel Expense:*
Monetary amount & rationale
Budgeted Speaker Meal Allowance:*
IRS federal per diem rate (2018) = $51/day
Will you be requesting reimbursement from ASCA state funds?*

YesNo
What is the amount of the reimbursement you plan to submit?*
Upload Budget
Recommended Member Registration Fee:*
Recommended Non-Member Registration Fee (Must be minimum $10 higher than ASCA member rate.):*
Early Bird Rate (if applicable)
On-Site Rate (if applicable)
Will you need ASCA membership recruitment information?*

NoYes, pensYes, notepads
Ship Items To:*

First NameLast Name
Ship Items To:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Any additional information that would be helpful.
Should be Empty:

Educational Program Proposal and Planning Form

This form is to be completed for every program included on the ASCA Calendar of Events. Contact the ASCA Office with questions at asca@theasca.org or 979-589-4604.

Please submit the form at least 30 days prior to the program. If you are spending ASCA funds, a zero-based budget must be submitted with this request.

Program Information

Financial & Logistical Considerations