Apply for Committee on Lectures Funding or Publicity Assistance

Lecture

Proposed speaker *

Title of lecture *

Description of lecture *

Date

If date has been set

Location

Please include room name or number

Time

The suggested start time for most events is 6:00 PM. If you believe your event should start at a different time, please edit the field accordingly and provide a justification below.

Time change justification

Please provide a justification if you are requesting an event start time other than 6:00pm

Registered Student Organization

Requesting organization(s) *

Student contact for the event: name and email address *

Student contact for the event phone number *

Faculty/Staff event contact: name and email address *

Faculty/Staff event contact phone number *

Brief bio (3-5 sentences) including important honors/awards, books authored, relevant previous positions, and academic degrees, if applicable. *

Possible benefits of the lecture to Iowa State students (3-5 sentences) *

Publicity Only

If you are not seeking funding for your event, but would like the Committee on Lectures to publicize your event, please indicate whether the unit you represent is hosting the event on their own account or will be using Lectures' account.

Cost of Lecture

Cost of honorarium * $

Cost of travel * $

Estimated U.S. roundtrip airfare $500

Cost for lodging * $

Estimated hotel cost in Ames $125/night

Cost for meals * $

Estimated meal cost $50/day

Event costs *

For each event requesting funding and/or asking Lectures to manage the event, please include $750, which covers publicity, A/V and facilities fees, and recording and captioning costs.

Other funds required * $

Please describe if other funds are requested

TOTAL COST OF LECTURE * $

Please add the honorarium expenses, travel expenses, lodging expenses, meals, publicity, and other costs to find this number.

Funding Sources

Source 1 *

Source 1 amount * $

Source 1 status *