Program Contacts
Name of the Student Organization(s):
Contact Person:
Phone:
Email :
Heritage Months
Please indicate for which month this event grant is being
proposed:
Program Information
Title of the Program:
Program dates & Times:
Location:
Anticipated attendance:
Have you confirmed your Location?
Program Type (please check all that apply) :
Please describe your Program and What will occur :
How will your program meet one or more of the goals listed for specific Heritage month?
What do you hope participants will learn or how will they benefit from the experience ?
Multicultural Maverick Unity Awards (Optional)
Please list any co-sponsor(s) and how they will contribute :
Funding Information
Total Estimated cost for the Event :
Total Amount of Funding provided by the Organization :
Total Amount of Funding Provided by Other Co-Sponsors (if applicable) :
Total Amount of Funding Requested :
How will the funding be utilized if awarded ?
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