First Name *

Last Name *

Email Address *

Phone Number *

Campus Affiliation *

What student group(s), if any, are affiliated with this program/event/activity?

What department/office/center, if any, is affiliated with this program/event/activity?

What is your class year?

Name of Program/Event/Activity? *

Program/Event/Activity Description *

200 word limit

Program/event/activity goals? *

Intended audience? *

Which category does the program/event/actvity fit? Check all that apply. *

Justice: exposes systems of oppression and raises the narratives of marginalized humans

Educational: offers knowledge on the intellectual, technical, emotional, and/or other spectrums

Off-campus: gets students involved with programs/events/activities outside of Goucher College

Just for Fun: creates fun, just because, to help expend energy, get loose, relax

Performances/Artistic Expression: provides students with a creative outlet—may feed the soul or expand comfort zones

Other

Please explain *

What is the status of the planning process for the program/event/activity? *

This is an idea that requires further planning and support.

This program/event/activity will be planned by a department/office/center/student group/individual and may need additional support.

This is a notification. The program/event/activity is already being planned by a department/office/center/student group/individual and has all the necessary support.

How will this event be planned?

I would like someone else to plan this.

I would like someone else to plan this, but I don’t mind helping out.

I would like to plan this, but need assistance (human resources, funding, logistics, etc.)

What is the name (or names) of the department/office/center/student group/individual planning the program/event? What type of support may be needed?

What is the name (or names) of the department/office/center/student group/individual planning the program/event?

Date *

Date is: *

Confirmed

Tentative

Hopeful

Time *

Time is: *

Confirmed

Tentative

Hopeful

Location *

Include links if available

Location is: *

Confirmed

Tentative

Hopeful

Additional Comments

100 words or less