Brief summary of program (i.e. what activities will participants complete?)

Expected audience of program?:

How will you advertise for this program?:

Are any Faculty/Staff involved in this program (who?)?:

Are there any guest speakers or other contributing groups?:

Which other staff members are helping (if any)?:

What supplies do you need for this program and how are you going to get it?:

What is your estimated budget for this program
(please list in as much detail as possible)?:

Did you reserve your location through Events and Conferences Office?
Yes No

Do you have any questions or concerns? (any additional resources/support you need?)

Please indicate the facilities whose resident directors should receive a copy of this form.

Resident Halls:

Cottage / Apartments: