Co-Sponsorship Request

Kindly submit your request no later than thirty (30) days in advance of your event so that
our committee may have time to review and respond to it. Thank you.

* Requested by:
* Email address:
Department:
Phone:
Campus mailing address:
Title of presentation or event:
Name, title and affiliation of speaker:
Date(s) and Time of Event:
Location:
Statement:	The Speakers Committee gives priority to requests that support the mission of the Susan B. Anthony Institute for Gender and Women's Studies. Please add a brief statement about how your event might facilitate faculty, student, or staff research, writing, teaching, or learning about women, gender, sexuality, feminism, or associated topics.
Amount requested:
I understand that my request will not be considered without an accompanying budget.:	I will email an Excel file under separate cover to sbai@rochester.edu I am including budget information here
Budget:
* Agreement:	If co-sponsorship is approved, I will acknowledge the Susan B. Anthony Institute for Gender and Women's Studies when publicizing this event.
Sponsoring & co-sponsoring departments/programs:

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Susan B. Anthony Institute for Gender and Women’s Studies

Co-Sponsorship Request