1. Today’s Date:
Program Request Form
This form is to help you present your idea to the steering members in a very comprehensive manner and you
don’t have to gather all the information on your own. Please collect this information 3 weeks in advance for
proper planning if possible. Feel free to attach more information and write in the back as necessary.
Event/Project:
Date of Event:
Objective
Scope of Work
Proposed Work Plan and Schedule
Participants (students, HaU ___, HU ____, and so on)
Estimated total cost of event (item and est. cost)
Amount Requested
Other Organization Support
If yes, please provide each organization(s) information.
1)Name 2)Type of support Requested 3)If financial support requested, how much
Sample Agenda (tentative):
Evaluation
Contact person(s)/Email(s)/Phone(s)

2. Today’s Date:
Scope of Work: This describes roughly the work to be done in detail and specifies the hardware and software
involved and the exact nature of the work to be done.