IDEA Event Submission Form

Your Name *

Your Title

Email *

Phone

Your College / Department / Unit *

Indicate if you are (select one):

*Other: provide description

Program Date *

Program Time *

Program Format (select one):

*Other: provide format information

Provide a brief description/title of your submission:

How does your submission support the goals of IDEA?

Who is your target audience?

Are you collaborating with other groups or units at DePaul? If yes, please list:

Is there a fee or a cost?

Yes

What is the cost?

Expected attendance

Is this program open to all DePaul community members?

Yes

Is this program open to the community outside of DePaul?

Yes

Is there follow up or other programming associated with this submission? If yes, please provide details below:

Additional comments or questions