2015 Programming Application

For programs taking place between Monday, April 20, and Friday, April 24.
  1. Limited Space Available, apply early.
  2. Applications are reviewed weekly. Successful applicants will be contacted within 5 business days of their submission by a member of the Earthstock Planning Committee.
  3. Please direct questions to Jeff Barnett, Assistant Dean of Students at 631-632-7320, Jeffrey.Barnett@stonybrook.edu.
  4. Exhibitors looking to host a table at the signature festival on the academic mall scheduled for Friday, April 24, 2015 should complete the exhibitor application instead.

Contact Person/Program Coordinator:

Department/Organization:

Contact's Phone Number:

Contact's Email Address:

Title of Program:

Preferred Date and Time of Event:

FIRST Choice Date:

FIRST Choice Time:

SECOND Choice Date:

SECOND Choice Time:


THIRD Choice Date:


THIRD Choice Time:

Number of People Expected to Attend:

Will you be supplying and utilizing A/V?
YES
NO

If yes, what other A/V support can we provide?
TV
DVD/CD player
Laptop
Projector
Microphone
Other  

Please provide detailed information about your event in the boxes below.

I. Program Abstract: Please provide a brief summary of your program and indicate any special features (i.e. performers, food, etc).
Lecture/Workshop
Discussion
Multimedia Presentation
Social Event
Other  

II. Program Goals: Please list your program goals and how they relate to Earthstock.

III. Involvement. Indicate any and all co-sponsoring groups and describe each group’s role in the program.

 

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