CLEC Departmental Lecture Proposal

Completely fill out the form below. PressSubmit upon completion of your proposal. An e-mail of your proposal will be sent to Albert Pertalion, Chairperson of CLEC / Director Performing Arts Center.

Please note: You are required to type your e-mail address and the e-mail address of your Departmental Chair.

 

Professor submitting this form (also the contact person for CLEC)

P.O. Box

Phone

Email*

This proposal has been approved by all Departmental Chairs involved

Yes
No

Departmental Chair e-mail address*

Name of Department or College

Guest Lecturer

Guest Lecture's Address

Guest Lecture's Phone Number

Guest Lecture's FAX Number

Guest Lecture's E-mail

Program Title

Anticipated number of students

Anticipated number of faculty

Fall Semester Date

1. Support of program as it relates to students in your department

2. Summary of lecture's expertise and experience

3. Plan for publicizing event

3. Plan for publicizing event

 

Itemized Budget CLEC Funds
Please note: CLEC does not fund receptions

Air Travel

Land Travel ($.48 a mile)

Meals ($28 a day)

Room ($60 a night)

Honorarium

Total Cost CLEC

 

Itemized Budget Departmental Funds

Air Travel

Land Travel ($.48 a mile)

Meals ($28 a day)

Room ($60 a night)

Honorarium

Reception

Total Cost Departmental