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Apply for Committee on Lectures Funding or Publicity Assistance
Lecture
Proposed event/speaker
*
Topic/title of lecture
*
Date
If date has been set
Location
Please include room name or number
Time
If time has been set
Planning Organization
Requesting organization(s)
*
Student contact for the event: name and email address
*
Student contact for the event phone/cell number
*
Faculty/Staff Event Contact: name and email address
*
Faculty/Staff Event Contact phone/cell 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
*
$
Cost for lodging
*
$
Cost for meals
*
$
Event costs
*
(For each event requesting funding and/or asking Lectures to manage the event, please include $500, which covers publicity, A/V and facilities fees, and captioning costs.)
Other funds required
*
$
Please describe funds 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 (note requested or confirmed)
*
Source 1 amount
*
$
Source 2 (note requested or confirmed)
Source 2 amount
$
Source 3 (note requested or confirmed)
Source 3 amount
$
Source 4 (note requested or confirmed)
Source 4 amount
$
Source 5 (note requested or confirmed)
Source 5 amount
$
Additional funding sources
Please list funding sources not above
TOTAL amount requested from the Committee on Lectures
*
$
Subtract “Total other funding sources” from “Total cost of lecture”