REQUEST for SLO Hillel Program (2020)
This form is to kick-off the planning or supporting a program or event.
Once submitted, the Executive Director will either Approve or Ask for Clarification.
Email address *
Your cell phone number *
Your answer
What is the Title of the Program? *
Your answer
Give a description or "the pitch" (i.e. - what is it, why would students attend, why is it worth doing)? *
Your answer
How many people do you expect to participate? Do you have a specific audience in mind (i.e. - 50 students, all 1st year or, 120 Jewish community) *
Your answer
Which of these most fits the objective(s) of the Program (click all that apply)? *
Required
Where is the event?
Your answer
What is the Date of the Program (only if specifically known)?
MM
/
DD
/
YYYY
What is the Start Time of the Program (if important?)
Time
:
Who is the Chair or lead person? Who is on the Committee? Please provide roles for each person helping organize. *
Your answer
Please select one: *
Do you have a budget in mind? (i.e. - food $150, supplies $50, t-shirts $350, Total $550). Feel free to leave this blank if you have no idea:
Your answer
Please add any comments, questions, concerns, other requests here:
Your answer
Do you agree to take and share at least 5 pictures of the event, submit all receipts in order to get reimbursed, and also, provide a short feedback form following the event? *
Submit
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