Event Payment Request

Event Payment Request

This form is intended to capture all information related to the payment of guest artists, performers, and lecturers who participate in approved HASOM events.

This form will accept the details of one artist for one payment. If you have multiple guest artists requiring payment for a single event or require multiple payments for a single artist, please submit a new request for each payment.

Today's Date*

Dept/Unit*

Dept. of Music

Ethnomusicology

Jazz

Milken Center

Music Industry

Musicology

Center for Latino Arts

Event Name*

Event Date*

Please enter the date of your event, even if the date is tentative or subject to change.

Event Producer*

This is the primary contact person for this event.

Event Producer's Email*

Secondary Contact

Secondary Contact's Email

Is this event associated with a scheduled course?*

Does this event occur during or within the scope of a scheduled HASOM course?

Yes

No

Class Confirmation

If you answered yes to "scheduled course" please provide the course name and number as well as the section number (if applicable).

Guest Artist Name*

Guest Artist Email*

Guest Artist Payment Amount*

How much in Seed grants will you be using?*

How much in Dobrow funds will you be using?*

How much in funds from other sources will you be using?*

Please specify the source of any funding that you list.

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