Request Funds – Distinguished Women Visitors

To request support from the Elizabeth Nason Distinguished Visitors Fund, please submit the following information. Requests that include details regarding other funding sources, visit dates, and departments, offices or groups which are committed to this visit are more likely to be funded. Your request will be reviewed by the committee in a timely manner.

Distinguished Women Visitors Fund – Request Form

Your name*
Your department/organization:*
Your email*
Your phone number:*
Visitor's name and why you consider her to be distinguished in her field:*
How will the speaker address women's issues or what it is like to be a woman in her field?*
What else do you hope this visitor will bring to the campus community?*
Please describe your plans for the visitor while she is on campus (e.g., a preliminary agenda or list of possible visits)*
Additional sources of information about visitor (Web sites):
Date(s) of proposed visit:*
Description of pre-visit publicity:*
Transportation, housing, and meal plans for visitor:*
Budget and total cost of visitor:*
Amount requested from Nason Distinguished Women Visitors Fund:*
Source(s) and status of additional funds needed to support visitor:
Cost Center (and Program, if applicable) to which DWV funds should be transferred if proposal is accepted:
Email
This field is for validation purposes and should be left unchanged.
Phone
This field is for validation purposes and should be left unchanged.