Program Suggestion Form

Name *

Title/position *

Institution *

E-mail for primary contact *

Phone

Submitting this form on behalf of a CARLI group

(ex. Collections Committee)

Program Title? *

What is the proposed program, conference, symposium, etc.? *

(include proposed location/venue - if known)

When do you wish to hold the proposed program?

Who is the audience?

Attendees

How many attendees have you budgeted for? How many attendees are reasonably expected? (based on attendance/feedback from other similar events, etc.)

What problem/need does the program address?

Is something similar available elsewhere in the state or region?

What is the proposed budget for this event?

(include estimated facility/food/travel/speaker costs/etc.)

Are you willing to charge attendees for any of the expenses?

Funding

What type of funding are you asking of CARLI? - Full (no registration fee) - Substantially Subsidized (minimal registration fee ($50) - Partial

What funds are you requesting of CARLI?

(dollar figure)

What is your timeline for a decision on funding?

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