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Cluster SIPS Programming Proposal

Please submit this form at least one week prior to your proposed event. If less notice is provided, there may be insufficient time to approve the event.

** All fields must be complete in order for your proposal to be considered. **

Organizer Information

Last Name
First Name
Dartmouth ID
Class (e.g. 2008)
Blitz address (enter full address including "@dartmouth.edu")
Current Room
Cluster

Program Information

Program Title:

Date and Time of Program:

Location of Program:

Target Audience (select one):
Campus
Cluster
Building
Floor
Other (please identify):

Brief Description (what will happen, speakers, etc.):

What is your plan for advertising your event?

What is the estimated cost for your event?

How will the money be spent (transportation, tickets, food, etc.)?

Did you receive money from other sources? Yes No
If yes, how much and from whom?

Have you confirmed enough College-approved drivers to get all participants to the location of the event if it is off-campus? Yes No Not Applicable
If you have confirmed College-approved drivers, please list their names:

Proposal Conditions and Submission

By submitting this proposal I am agreeing to utilize the resources allocated for this event in the ways identified in the SIPS proposal. I understand that failure to do so will result in disciplinary action.

After hitting the "Submit Proposal" button, you will receive a confirmation email with your proposal information.

If you do not receive a confirmation email, we have not received your proposal. Please contact your Community Director so s/he can work with you to get your proposal submitted.

Last Updated: 9/1/05