PROPOSAL SUBMISSION DEADLINE: Friday, November 27, 2009, 5pm No late submissions accepted.
* - Required fields
Date
Host Organization *
Organization (full name)
Contact Person (full name) *
Phone Number *
Fax number
Email *
Website
Mailing Address *
City *
State * AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NF NH NJ NM NS NT NV NY OH OK ON OR PA PE PQ PR RI SA SC SD SK TN TX UT VA VT WA WI WV WY YT
Zip Code *
Event Title *
Event Dates * (list all available dates during 4/17 - 4/23)
Event Times / Start to End* (list all available times)
Location of Event (address & cross streets)
Borough
Neighborhood
Audience Size * (expected range)
Capacity (maximum # of people)
Event Description* (Please provide detailed information, including your program goals and target audience. Also indicate if you will partner with other organizations.)
Event Details* Free and open to the public (preferred) Suggested Donation $
Category Arts & Culture Education Civic Participation Civil Rights Other If Other:
Format Book Reading Conference Exhibit Film Lecture Music / Dance Theater Workshop
Special Details Kid-friendly LGBT Wheelchair accessible Other
If Other:
In what language(s) will your event be conducted? *
Will onsite interpretation be available? * Yes No
Did you host an event in a prior Immigrant Heritage Week? * Yes No
If yes, what year: 2009 2008 2007 2006 2005 2004
If yes, is this proposed event the same one presented previously? Yes No
Program Goals * How does your event accomplish the outlined goals of Immigrant Heritage Week?
Media Plan & Community Outreach * How will you publicize your event? Check all that applies and outline specific strategies you will use to promote your event in the space provided. Include TV/radio/newspaper outlets you will contact and the types of printed/electronic materials you will produce and distribute. Street flyers Newsletter E-groups and List-serves Newspaper Organization website TV Radio Internet Other Website (which ones?)
Funding * How do you plan to fund your event? Existing Budget Fundraising Required
Indicate if your budget covers event costs and/or what companies, local businesses, and elected officials may be potential supporters. (Reminder: The Mayor's Office of Immigrant Affairs does not provide funding)
Collaboration Will you collaborate with other agencies / groups / organizations? (If yes, identify each co-sponsor and how you wi ll be collaborating.)