CPC Funding Request Form

Multi-Campus Collaboration Required


    Applicant E-mail Address for Receipt Purposes

    Franklin & Marshall Applicant
    Name:

    F&M E-mail:

    Dickinson Applicant
    Name:

    Dickinson E-mail:

    Gettysburg Applicant
    Name:

    Gettysburg E-mail:


    CONFERENCE INFORMATION

    Conference Title

    Proposal
    Describe your project here, including significant information. Multi-campus sponsorship is a necessity.

    Total Proposed Budget
    List possible expenses, including travel, stipend, meals, publicity, etc.

    Funding
    List CPC funding requested. Then, list any other funds sought and from whom they are being sought.

    Purpose
    What is the purpose?

    Target Audience and Anticipated Attendance

    Planned Start Date (MM/DD/YYYY)

    If multiple days, Date Finished (MM/DD/YYYY)

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