Propose a FCLIR Special Event Program

Propose a FCLIR Special Event Program
Submission Date (today's date)*

MonthDayYear
Your name:*

First NameLast Name
Your email address:*
Your Phone Number*

Area CodePhone Number
If the program will have a second organizer, enter their name :

First NameLast Name
2nd organizer's email address:
2nd organizer's Phone Number

Area CodePhone Number
Program Title*
Program Subtitle (maximum of 15 words)

0/15
Proposed schedule (semester offered, proposed dates)

0/50
Proposed location(s)
Description of the program (maximum of 250 words):

0/250
Maximum number of participants :
Any other relevant information?
When you click the submit button, your proposal will automatically be emailed to the Special Programs Co-chairs, to the FCLIR office, and to the e-mail address you supply below.
E-mail*
Should be Empty: