Speakers Fund Application
Steps:
1. Enter Information
2. Preview Form
3. Send Form
Click here to print a blank form.
Blank Form
Group Information:
Representative's Name:
Phone #:
Representative's Title:
Representative's Email:
Recognized Student Group:
Group Email:
CU Account #:
Advising Office:
-- Please Select --
ABC Groups/CCSC/ESC and all associated class councils
Barnard (SGA recognized)
Club Sports
Community Impact
GSAS - Student Services
Graduate School of Architecture
Graduate School of Continuing Education
Graduate School of Engineering & Applied Science
Graduate School of Journalism
Graduate School of Social Work
Graduate School of the Arts
Graduate School of the Arts: Film
Greek Life
IGB Groups
Kraft Center for Jewish Student Life
Other
Residence Life Staff
SGB Groups
SIPA - Student Affairs
School of Business
School of General Studies
School of General Studies - Pre-Medical Association
School of Law
Advisor's Name:
Event and Venue Information:
Event Name:
Expected Attendance:
Location:
Date:
mm/dd/yy
Event Start Time:
-- AM or PM --
AM
PM
Event End Time:
-- AM or PM --
AM
PM
Description of Event (Examples include: debate, lecture speech, panel, forum, etc.):
Speaker's Affiliation (political, organizational, etc.)
Target Audience:
Please select your choice of attendees:
CUID Only
General Public (non-CUID holders)
Guest List
Other College IDs
List Colleges or Guests:
Advertisements:
How will this event be advertised?
On campus
Off campus
Type and scope (e.g. flyers- placement and quantity, print ads, radio ads, etc.)
Media:
Will media be invited to this event?
No
Yes
If yes, what media will be invited to this event and has the community relations been notified?
Safety and Security:
Any safety or security concerns?
No
Yes
If yes, please indicate any security and safety arrangments that may be required.
Cash:
Will Cash be collected? i.e fundraiser, t-shirt sales, admission charge.
No
Yes
If yes, describe nature of charges (e.g. fundraiser, t-shirt sales, admission charge)
Budget Information:
Revenue
Source Of Funds (e.g. operating budget, outside sponsorship, tickets sales, etc.)
Amount
Columbia Speakers Fund Award
Total Revenue
Expense
Description of Expense Covered by Speakers Fund
Not
Applicable
Estimated Price
or Quote
Source Of Price
or Quote
Event security directly connected to the speaker
On-campus space rental
Audio-visual support
Furniture Rental
Custodial Clean-up
Special opening of buildings
Special trades work, e.g. electrical
Other:
Total Expense
Questions:
Provide a statement describing why the event's topic or theme would engender University wide interest.
Describe how the event will be made impartially available to all members of the University Community.
Describe how the event will support open discourse
If the amount requested is not fully granted. how will the shortfall be funded?
Any further information that would assist the awards panel in their review or award
