JETAA Mid-South Event Proposal
Please complete the form below to propose events for the JETAA Mid-South region. Your event proposal will be used for:

1. Budgeting
2. Event tracking
3. Inclusion in the JETAA Mid-South Newsletter

If your event proposal includes a request for funding support, you will receive contact from a member of the current JETAA Mid-South Executive Board with approval or further questions.

Email address *
Proposer's Name *
Your answer
Event Title *
Your answer
Purpose of the Event *
Your answer
Proposed Event Date (Tentative Date OK) *
MM
/
DD
/
YYYY
Event State *
Event City *
Your answer
Estimated Number of Attendees *
Your answer
Amount of Financial Assistance Requested from JETAA Mid-South
Your answer
Additional Comments
Your answer
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