Student Initiative Grant Application Form

Grant Title (name of event/project)

How many discrete events are covered by this grant? (e.g. meetings, performances, conferences, etc.)

Event Date for Grant (if your application covers one main event, list the date of event)

Number of Average Attendees Expected Per Discrete Event

Estimated Percent of Attendees Who Are GSAS Students %

Please List Expected Department Affiliations of Attendees

Name of Contact Person for Grant (only list a single contact)

Email Address of Contact Person (must use full Columbia email address)

Funding Cycle

Spring (Feb 20 - Oct 20)

Fall (Oct 20 - Feb 20)

Briefly describe the event/project that you are proposing.

How will you ensure that a significant number of GSAS students are involved in this event/project?

How will this event/project improve graduate student life?

How will the event/project promote interaction between various departments?

Please provide evidence that your group can successfully plan and execute this proposed event/project. (e.g. describe the current plan, highlight previous events, etc.)

Provide an itemized list of expenses ((i.e. “500 flyers to publicize event,” “coffee, tea, and bagels for attendees," including the expected vendor for each item and estimated cost). Please specify what GSAC funds will be used for with an *, keeping in mind that SIG funding may not be used for speakers' honorarium, airfare, lodging or any travel fees, and remember that proposals that use GSAC funding for necessary/important aspects of events/projects will be given priority.

Total Funds Requested from ASGC ($1000 max per year per department/group)) $

Please list all sources of funding for the event/project. Include amount, and whether the money is committed or requested.

Total requested from other sources $

Total expenses for event/project $

Plenary Meeting Location

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