CEPAC Online Proposal Form
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Directions: 

1. Complete this online proposal form or send an e-mail message with this information to the Chair of the Committee, Adrienne Hawley at hawley@ucc.edu.  

2. The Chair will distribute your request electronically to the other committee members and will respond to you within three (3) working days. 

Today's Date: 

Please provide the following contact information:

Your Name
Your Department
Office Phone
E-mail Address

Brief title of proposed project:  

Date and time(s) for proposed project: 

Location: 

Other faculty (if any) involved: 

Brief description of the project: 


How will the project will be communicated to students and faculty: 


Estimated number of students involved:  

Places saved for the number of  students at large: 5

Amount of request (please itemize all costs):  


Will there be any charge to the students? (If so, how much?)


When you are done completing this online form click the Send your Proposal button below to submit your proposal electronically to CEPAC for consideration.  
Thank you!


      

CEPAC's Online Proposal Form was last updated on Thursday, September 03, 2009 
 by
Carol Keating