PROPOSAL SUBMISSION DEADLINE:
Friday, December 14, 2007, 5pm
No late submissions accepted.

*  - Required fields

Date

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 *

Host Organization *

Event Title *

Event Dates * (list all available dates during 4/14 - 4/20)

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
Suggested Donation   $

Category
Arts & Culture Education Civic Participation Civil Rights Other

Format
Book Reading Conference Exhibit Film Lecture Music / Dance Theater Workshop

Special Details
Kid-friendly LGBT Wheelchair accessible Other

In what language(s) will your event be conducted? *

Will interpretation be available? *
Yes No

Did you host an event in a prior Immigrant History Week?  *
Yes No

If yes, what year:
2007 
2006
2005 
2004

Is this proposed event the same one presented previously?
Yes No

Program Goals  *
How does your event relate to the outlined goals of Immigrant History Week?
(See application guidelines.)

Venue/Location *
Where will you host your event? In what neighborhood? Note special details about your venue/location, including if it is near public transportation and/or wheelchair accessible.

Media Plan & Community Outreach *
How will you publicize your event? Outline specific strategies you will use to promote your event. Include TV/radio/newspaper outlets you will contact and the types of printed/electronic materials you will produce and distribute.

Funding  *
How do you plan to fund your event? Indicate if your budget covers event costs and/or what companies, local businesses, and elected officials may be supporters.
(Reminder: The Mayor’s Office of Immigrant Affairs does not provide funding).

Collaboration
Will you be collaborating with other agencies / groups / organizations?
(If yes, identify each co-sponsor and how you will be collaborating.)