First Name: Last Name:

First Name: Last Name:

First Name: Last Name:

E-mail Addresses:

School Affiliations:

Conference Title:

Proposal:
Describe your project here (2-3 paragraphs): Include significant information. Multi-campus sponsorship a necessity.

Total Proposed Budget:

List possible expenses (including travel, stipend, meals, publicity, etc.)

Other Funding:

Distinguish CPC funds from others. List any other funds sought and from whom they are being sought.

Purpose:

What is the purpose?

Target Audience, Date Planned, and Anticipated Attendance:

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