Moravian College

Co-Sponsorship Application

The following form must be completed in full and submitted to the IMPACT president and advisor at least 3 days prior to a scheduled meeting.

	Name of Organization:
	Contact person within the Organization:
	Organization’s Faculty/ Staff Advisor:
	Description of Event:
	Date of Event:
	Location/Time:
	Who will provide advertising for this event:
	Budget Break Down Please list expense (i.e. food, transportation, decorations, hotel, etc.) and its cost:
	Expense	Cost
		$
		$
		$
		$
		$
	Total cost for event:	$
	Amount requested from IMPACT:	$

	*Please send any additional program information (i.e. flyers)