Co-Sponsorship Funding

If you are human, leave this field blank.

Organization/Department Name *

Student Group

(if applicable)

Faculty Adviser

(if a student group)

Name *

Title

(if applicable)

Email Address *

Phone Number *

Title of Event *

Date

Time

Location(s) *

Estimated Attendance *

Event Description *

Food

Entertainment

Advertising

Printing

Rentals

Other

Total Event Budget

Other Funding Received

Funding Request Amount *

Has your organization, department, or student group co-sponsored a prior event with CAS? *

Yes

If yes, list the event title, date, and funding amount given

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Center for Africana Studies