Laura C. Harris Funding Request Form

THIS FORM IS FOR CAMPUS USE ONLY!
Person Submitting Request    Contact #    Today's Date   
Name of Proposed Lecturer/Event    Tentative Event Date   
Bio/Description of Event
Website URL   
Describe how event ties into Spectrum theme & WMST (potential topic)
Total Estimated Budget - Including honorarium, travel, accom., food, meals/receptions, etc.   
Amount being requested from LCH   
Funding being provided by others (itemize)
List of classes or student groups he/she would likely visit
Additional comments