Todays Date:

Program Request Form

This form is to help you present your idea to the steering members in a very comprehensive manner and you dont have to gather all the information on your own. Please collect this information 3 weeks in advance for proper planning if possible. Feel free to attach more information and write in the back as necessary. Event/Project: Date of Event: Objective Scope of Work Proposed Work Plan and Schedule Participants (students, HaU ___, HU ____, and so on) Estimated total cost of event (item and est. cost)

Amount Requested Other Organization Support If yes, please provide each organization(s) information. 1)Name 2)Type of support Requested 3)If financial support requested, how much

Sample Agenda (tentative):

Evaluation Contact person(s)/Email(s)/Phone(s)

Todays Date: Scope of Work: This describes roughly the work to be done in detail and specifies the hardware and software involved and the exact nature of the work to be done.