Title of the Event:  

Date of Event:   ,     Time:   :  

Name of Organization Hosting Event:  

Are you requesting supplemental funds?   Yes    No  

Estimated Attendance:  

Description of the Event:

How will this program bring Eastman and River Campus students together?

What is your method of advertising for this event?

Are you coordinating with anyone at Eastman for this program (not required for funding):   Yes    No  

Have you run a similar event in the past:   Yes    No  

Business Manager (You):
Advisor:
Student Accountant:

A copy of this completed form will be emailed to your advisor for approval.