Broome- Program Proposal Form

Broome Street Hall Council Program Proposal Form Please present proposal at hall council meeting at least two (2) weeks prior to the program. Today’s Date: _____/_____/_____ Residence(s): __________________ Floor(s): __________________ Submitter’s Name(s): __________________________________________ Phone #: _________________ E-mail: ______________________________ Other RAs or Staff Involved: ________________________  Individual Proposal

OR

 Sponsored by a Committee/Organization: ______________________________________________

Program Title: _________________________________________________________________________ Brief Description: ______________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Date: ________________________ Time: ________________________ Location: _________________ Alternative plan (i.e.: inclement weather, sold out event): _________________________________________ How Many Students Can Participate? _________ Program Cost: $ _________ Explanation of Expenditures (Itemized cost per person/ per item): ________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Description of Publicity: _________________________________________________________________ _____________________________________________________________________________________ Publicity Start Date (Please attach a sample of publicity): _____/_____/_____ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ For Office Use Only:

Hall Council Approval Date: _____/_____/_____ Check Number: _________ Payee: __________________________________ Amount Approved: $ _____________ Amount Spent: $ _____________ Amount Returned: $ _____________ A/CDE Approval: _______________________________________________

Date: _____/_____/_____

Payee’s signature*: ________________________________________________ Date: _____/_____/_____ •

By signing, I agree to return all applicable receipts and change associated with this funding. Receipts and change must account for the full amount issued. I also agree to consult the Hall Council e-board and ACDE should any changes to the above plan be required.