Broome - Program Proposal Form

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Broome Street Hall Council

Program Proposal Form

Please present proposal at hall council meeting at least two (2) weeks prior to the program.
Today’s Date: _____/_____/_____ Residence(s): __________________ Floor(s): __________________

Submitter’s Name(s): __________________________________________ Phone #: _________________

E-mail: ______________________________ Other RAs or Staff Involved: ________________________

 Individual Proposal OR  Sponsored by a Committee/Organization:

______________________________________________

Program Title: _________________________________________________________________________

Brief Description: ______________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Date: ________________________ Time: ________________________ Location: _________________

Alternative plan (i.e.: inclement weather, sold out event): _________________________________________

How Many Students Can Participate? _________ Program Cost: $ _________

Explanation of Expenditures (Itemized cost per person/ per item): ________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Description of Publicity: _________________________________________________________________

_____________________________________________________________________________________

Publicity Start Date (Please attach a sample of publicity): _____/_____/_____


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
For Office Use Only:

Hall Council Approval Date: _____/_____/_____ Check Number: _________ Payee: __________________________________

Amount Approved: $ _____________ Amount Spent: $ _____________ Amount Returned: $ _____________

A/CDE Approval: _______________________________________________ Date: _____/_____/_____

Payee’s signature*: ________________________________________________ Date: _____/_____/_____

• By signing, I agree to return all applicable receipts and change associated with this funding. Receipts and change must
account for the full amount issued. I also agree to consult the Hall Council e-board and ACDE should any changes to the
above plan be required.

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