Division of Equity, Justice, and Inclusive Excellence, invites partnership in creating and sponsoring events that advance inclusive excellence. If you are interested, in seeking our participation and/or support please complete the following. You must have JavaScript enabled to use this form. Your Name: Email: Telephone Number: Department/Organization Name Nature of the event you propose Speaker Panelist Training Workshop Social Event Cultural Event (film, art show) Please describe your event in 3-4 sentences How does this relate to the mission and vision of EJIE Who is your expected audience (check all that apply) Student Staff Faculty Campus Community Merced Community Other Will this event be open to all (yes/no) if no, please explain why What type of partnership are you seeking from EJIE Listing EJIE as a partner Monitory support (amount requested) Collaboration in planning and design (please specify) Logistical support (please specify) Please list other collaborators or partners you have secured What is your current level of funding What is the anticipated date/time of your event Is there anything else we should know Please provide itemized budget (All expenses: airfare, hotel, technology, room reservations, catering, honorarium, supplies/materials, etc.) Other Leave this field blank CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. reCAPTCHA response
