This is left intentionally blank

Transcription

1 USA BODProgramingFund PAGE1 Applicant Information Last Name First Name Phone Program Information Program Name Organization Program Date Expected Number of Attendees Do students need to pay an admission fee to your event? Yes No Program Representatives Last Name First Name This is left intentionally blank

2 USA BODProgramingFund PAGE2 Description Of Program 1) Please give a brief, but detailed summary of your program. Be sure to include any history. 2) What is the population that you hope to reach with your program and how will they benefit from attending? 3) Describe your program s goals and objectives. State what you hope to accomplish at the completion of the program, and list concrete ways of how you will do so. Please use bullet points for this section. 4) Is your program educational in nature? If so, please give a brief explanation.

3 USA BODProgramingFund PAGE3 Short Answers 1) Is your program co-sponsored by other campus organizations? If so, which one(s)? (Please limit your entry to 2000 characters) 2) Who is your SOLE advisor and have you met with him/her?(please limit your entry to 2000 characters) 3) Is this a program your organization has had in the past? (If not, please go to question 8) a) Please give a brief evaluation of the past program b) How is this year s program different? (Please limit your entry to 2000 characters) 4) What is your most important line item? Why? (Please limit your entry to 2000 characters) 5) What long-term effects might this event have on the targeted population? (Please limit your entry to 2000 characters) This is left intentionally blank

4 USA BODProgramingFund PAGE4 Program Events Frequently Asked Questions: Why are there multiple tables? Do I need to fill out all of them? Answer: Just in case you have multiple programs you can utilize multiple tables. You do not need to fill in every table. Program Title Program Date Begin Time End Time Event Name Event Location Program Title Program Date Begin Time End Time Event Name Event Location Program Title Program Date Begin Time End Time Event Name Event Location

5 USA BODProgramingFund PAGE5 Budget Worksheets Frequently Asked Questions: How do I fill this out? Answer: This is comprised of multiple Budget Worksheets Advertising, Assistance, Facilities, Graphics, Honorarium, Retreats & Conferences, Supplies, Transportation, and Other. You do not need to complete every worksheet. Budget Worksheets Advertising Item Description Other Description Cost Per Item Quantity Cost

6 USA BODProgramingFund PAGE6 Budget Worksheets Assistance Position Name Monthly Salary Number of Months Cost

7 USA BODProgramingFund PAGE7 Budget Worksheets Facilities Item Description Cost

8 USA BODProgramingFund PAGE8 Budget Worksheets Graphics Item Description Other Description Cost Per Item Quantity Cost

9 USA BODProgramingFund PAGE9 Budget Worksheets Honorarium Performer Description Date Time Location Honorarium Amount

10 USA BODProgramingFund PAGE10 Budget Worksheets Retreats & Conferences Which quarter? Fall/Winter/Spring Number of Attendees Number of Days Cost Per Attendee Per Day Cost

11 USA BODProgramingFund PAGE11 Budget Worksheets Supplies Item Description Other Description Cost Per Item Quantity Cost Sub- Sales Tax % Sales Tax

12 USA BODProgramingFund PAGE12 Budget Worksheets Transportation Item Description Cost

13 USA BODProgramingFund PAGE13 Budget Worksheets Other Item Description Cost

14 USA BODProgramingFund PAGE14 Budget: Line Item Breakdowns Frequently Asked Questions: What do I do here? Answer: Adobe Reader should automatically calculate the totals of each budget worksheet. Please select the priority of each category and complete Specify Other Funding Sources A and B. Category Advertising Assistance Facilities Graphics Honorarium Retreats & Conferences Supplies Transportation Other Priority 1 high 10 low Amount Requested Amount Requested From USAC Amount Requested From Other Specify Other Funding Source A Specify Other Funding Source B