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Mosaic Co-Sponsorship Request Form
Submit the completed form at least 3 weeks prior to your event for consideration to the Mosaic Cultural Programming Board. If you need assistance with this request form, please do not hesitate to call us at (408) 924-6255 or email us at mosaic@sjsu.edu

Note: We won't review requests until Thursday, November 18th. Thank you!
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Community Standards Agreement
All individuals or groups co-sponsored by the Mosaic Cultural Programming Board agree to abide by the following community standards.

Privacy: Unless otherwise stated, attendees to events are not to be photographed or videotaped without consent. If a group would like to document their program, they must clearly state during the course of the program or post a visible sign for attendees.

Asking disruptive attendees to leave: The Mosaic staff reserves the right to ask individuals who are acting disruptive to the purpose of the event or program to leave the event, at the behest of the program's organizers. Acting disruptive can include, but is not limited to, repeatedly interrupting presenters, repeatedly interrupting other attendees, acting aggressively toward other attendees, or repeated use of language that targets individuals and/or communities.

Open to all: Events co-sponsored by Mosaic must be open to all students and the purpose of the event must align with the mission of the Mosaic Cross Cultural Center.

COVID-19: Community care and SJSU guidelines must be followed.
Community Standards Agreement
Name of Contact Person:
Contact Phone Number:
Contact Email Address:
Name of Organization/Department:
Organization President/Department Chair:
Program/Event Title:
Program/Event Date:
MM
/
DD
/
YYYY
Program/Event Start Time:
Time
:
Program/Event End Time:
Time
:
Program/Event Location:
Program/Event Description:
Program/Event Objective or Goals:
Please describe how this event will support the mission/philosophy of the Mosaic Cross Cultural Center:
Our mission/philosophy can be found on the Mosaic Website at http://www.sjsu.edu/mosaic/about/mission/index.html
Anticipated Attendance:
Anticipated Audience:
Funding Request:
How much total funding are you requesting from Mosaic?
Funding Request Breakdown:
Please provide a detailed breakdown of what amount is being requested and will be used for what purpose.
Income
Please provide a list of all sources of income for this event, including potential revenue from ticket sales if applicable.
Expenses
Please list all projected expense for this event.
Rental Items
Additional notes:
If you have any additional notes or requests about your program/event, please let us know.
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