subject_line
Project Proposal
Organization or Group Name
*
Primary Contact
*
Email
*
Are you a current partner of ACTRIMS?
*
Yes
No
What type of project are you proposing?
*
Summer School
Teaching Course
Website / Technology
Fellowship
Workshop
Symposia outside of the ACTRIMS Forum
Other:
Other:
What are the goals of the project?
*
Who is the audience for the project?
*
How many participants do you estimate having?
*
0-50
51-100
101-150
151-200
201+
How long is your program?
*
1/2 - 1 day
1 - 2 days
2 - 3 days
More than 3 days
Please list the preferred date(s) for your program.
*
Do you plan to offer your attendees food and beverage during the program?
*
Yes
No
Will attendees need hotel rooms?
*
Yes
No
What type of support are you requesting of ACTRIMS? Check all that apply.
*
Financial
Meeting Planning / Support
Marketing / Communications
General Administrative Support
Other:
Other:
If you are requesting financial support, please upload a detailed budget including income and expenses.
If you are requesting financial support, please indicate how much you are requesting from ACTRIMS.
How would the project benefit ACTRIMS?
*
Are you requesting support from other organizations?
*
Yes
No
If you are requesting support from other organizations, please list who you are approaching or who you have solidified support from and what type of support you are looking for / receiving from those organizations.
Please upload any supporting documents that you would like to include.
Please provide any additional information you would like us to know about your program.