Request Funding Request Funding Today's Date: Email Address: Full Name: Department or Group: Title of Event/Program: Event Speaker(s) and Bio(s): Proposed Date: Proposed Time: Proposed Location: Amount Requesting: Total proposed cost of event: List co-sponsoring organizations and/or campus departments solicited and/or confirmed: What are your specific goals? Briefly describe how this program is aligned with the mission of the Matrix Center: Comments:
