Req.

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The University of Texas - Pan American Office of Residence Life

Program Proposal
Complete and submit to your Hall Director/Coordinator at least (14) days prior to the date of the event for approval.

Sponsor(s): Program Title: Starting Time Of Program: Date Of Program: Wellness Emphasis: (circle one) Alcohol Awareness Intellectual Political Awareness School Spirit Awareness Brief Description of Program: Cultural Life Planning Spiritual Social Emotional Physical Sexual Ending Time Of Program: Program Location:

Estimated Cost:

Refreshments Decorations Prizes Other (specify below)

As the program sponsor, I assume responsibility for complying with University and Residence Life policies and regulations concerning student conduct and facility use during the planning and implementation of this program. Sponsor Signature: Sponsor Signature: Coordinator Signature: Date: Date: Date: