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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