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CLEC Departmental Lecture Proposal
2008
Completely fill out the form below. Press Submit upon completion of your proposal. An e-mail of your proposal will be sent to the
CLEC Assistant.
Please note: You are required to type your e-mail address and the e-mail address of your Departmental Chair.
CLEC 2008
Calendar of
Events
CLEC E-mail
Contact the CLEC office
P. O. Box 8028
Statesboro, GA. 30458
912.478.7434
Fax 912.478.0306
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
Please list date, place, and time the program will be presented
1. Support of program as it relates to students in your department
Type Here
2. Summary of lecture's expertise and experience
Type Here
3. Plan for publicizing event
Type Here
Itemized Budget CLEC Funds
CLEC does not fund receptions
Air Travel
Land Travel ($.48 a mile)
Meals ($28 a day)
Room ($60 a night)
Honorarium
Total Cost
Itemized Budget Departmental Funds
Air Travel
Land Travel ($.48 a mile)
Meals ($28 a day)
Room ($60 a night)
Honorarium
Reception
Total Cost