Center for Asian and Pacific Studies Jeremiah Speaker Application

Primary Applicant's Name:

Department:

Status

Tenure-track faculty

Non-tenure-track faculty

Library Staff

Other

Phone number

Email Adress:

Names and affiliations of additional faculty involved with this application:

Anticipated date of event:

For which funding cycle are you applying? Please write the cycle and the year next to cycle. Leave year blank if it is nonapplicable.

Example: Fall 2024

If nonapplicable cycles example: Fall

Have you received a Jeremiah award in the past?

Yes

What type of support are you seeking with this application?

Full Jeremiah sponsorship (CAPS organizes event as primary funder)

Jeremiah co-sponsorship (CAPS does not organize and provides small amount of support [$200-$400])

Name and affiliation of proposed speaker:

General topic to be addressed:

Please provide a brief explanation of the proposed lecture and its significance to Asian and/or Pacific Studies:

Please explain how this event aligns with CAP's programmatic goals. Maximum 500 words:

Will there be any student involvement in this event?

Yes

What is your target audience for this event?

Budget: Please provide information on the anticipated expenses so we can estimate the total cost of the event. The honorarium we typically pay is $500. We also budget $300 for publicity and venue rental. If you are requesting more for either of these categories, please indicate that in the "other" category.

Example:

Airfare: $

Hotel: (number of nights):

Group meals: $

Ground transportation: $

Other expenses: $

All applicants are expected to secure costshare for speakers, either from their home departments or other relevant centers. Please list the sources of support and dollar amounts you have already secured:

Please list the departments or centers you have contacted or intend to contact for support, but do not yet have a confirmed commitment:

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