Name of Event (*)

Name and Contact Information for Faculty Member(s) Responsible for the Event (*)
If the event involves partnership with other Case Western Reserve schools and/or community organizations, please provide contact information for institutional partners, including the name and position of the primary contacts.

Email Address of Faculty Member(s) Responsible for the Event (*)

Description of Event (*)
Please include:
• A description of how the event invigorates interdisciplinary discussion and collaboration in the arts and humanities.
• Target audience(s) for the event and how the event relates.
• If partnerships with other Case Western Reserve University Schools and/or community organizations are involved, specify how. Please note that depending on the nature of the event, you may be asked to supply letters of support from relevant department chairs, CWRU schools, and/or community organizations before the application can be processed fully.
• A plan for how the event will be publicized, including responsible individuals.

Date of Event (*)

Case Department/Office Responsible for Project/Event (*)

Home Account Number (*)

Projected Expense Budget (*)
Please itemize.

Projected Income Budget (*)
Please itemize.

Amount Requested from Baker-Nord Center (*)
(note that in most cases funding will be limited to $500)

Comments (optional)

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