|
Type of sponsorship requesting
*
|
|
|
Requestor/Host First Name
*
|
|
|
Requestor/Host Last Name
*
|
|
|
Requesting/Host Unit/Center
*
|
|
|
Affiliation
*
|
|
|
Requestor/Host Email Address
*
|
Confirm Requestor/Host Email Address.
|
|
Is this a UCLA Event?
*
|
|
|
Event Title/Subject
*
|
|
|
Type of event
*
|
|
|
Speaker(s) Name
*
|
|
|
Speaker(s) Affiliation
*
|
|
|
Speaker(s) Email Address
|
|
|
Speaker(s) Webpage
|
|
|
Brief description of research/topics to be covered.
*
|
|
|
How does this event support the mission of the Center for Near Eastern Studies?See the CNES Mission here
*
|
|
|
If this event is related to a course, please specify the course name, quarter and year taught, topic, and instructor
*
|
|
|
Event Information
|
|
Target Audience
*
|
|
|
Quarter and Year of Event
*
|
|
|
Preferred Event Day and Time
*
|
|
|
Event Location (if event to be held online, indicate location as “Remote”)
|
|
|
Estimated number of attendees
*
|
|
|
List all other confirmed or potential cosponsors
|
|
|
Please describe in detail the type of sponsorship/co-sponsorship requested
*
|
|
|
Financial Support Information
|
|
Amount Requesting
*
|
|
|
Administrator Contact
*
|
|
|
Administrator Email
*
|
|
|
Describe in detail how the funds will be used(Option to upload budget below under "Miscellaneous Information")
*
|
|
|
Advertising/Publicity Information
|
|
List any special circumstances or restrictions about publicizing the event(tickets, RSVP, cost, parking, open to the public, etc.)
|
|
|
Miscellaneous Information
|
|
Please upload any relevant documents below (i.e. budget, flyer, schedule/program, detailed list of speakers including bios, abstract)
|
|
Type of Document
|
|
|
.
|
(NOTE: you must click "Upload" after you select a file)
|
|
Type of Document
|
|
|
.
|
(NOTE: you must click "Upload" after you select a file)
|
|
Type of Document
|
|
|
.
|
(NOTE: you must click "Upload" after you select a file)
|
|
Type of Document
|
|
|
.
|
(NOTE: you must click "Upload" after you select a file)
|
|
PLEASE ACKNOWLEDGE THE FOLLOWING RESPONSIBILITIES BY CHECKING THE BOXES BELOW
|
|
I understand that I am responsible for collecting the total number of attendees and their affiliations (student/staff/faculty/community member) and submitting this information to the UCLA Center for Near Eastern Studies after the event.
*
|
|
|
|
I understand that I am responsible for submitting a copy of the event flyer, advertisement, program, or agenda to the UCLA Center for Near Eastern Studies at least three weeks before the start of the quarter during which the event will take place.
*
|
|
|
|
Please submit this completed request form to the UCLA Center for Near Eastern Studies for AY2020-21. You will receive a response to the email address provided once the committee has reviewed your proposal. Upon submission of this request form I assert that the information provided is correct. I will immediately notify the UCLA Center for Near Eastern Studies if there are any changes to the information provided.
*
|
|
|