NetSquared Camp FY14 Application

This page current contains text for a draft of the application form.

Live version: http://fluidsurveys.com/surveys/tsgmarcomm/netsquared-camp-fy14-application/

Lead Organizer Name
[text field]

NetSquared Local group city/town
[textbox]

e-mail
[textbox]

Please list any other organizers (Name and City) who have committed to be involved and their group location (if applicable.
[Textarea, 3 rows]

Please summarize your idea for holding a Regional NetSquared Camp.
Maximum 3 paragraphs. Let us know what style of event and what activities are planned.
[textarea]

What is/are the proposed date(s)?
[textarea]

Do you have a venue in mind? yes/no
[radio button]
(If yes, please identify)
[textbox]

Do you plan to have a separate gathering of participating NetSquared organizers before, during or after the event? yes/no
[radio button]
(If yes, please tell us more.)
[textbox]

How much are you asking for?
list total amount in US $
[text box]

Provide a rough budget breakdown.
Please estimate your budget as rough categories the cost of each (USD). (ie. Venue rental, catering, AV rental, AV)
[Textarea]

If you are considering bringing organizers or prospective organizers in from outside your city please provide a travel and accommodation estimate?
NOTE: Please provide an estimate with breakdown of cost per item. This section does not apply against the budget cap. Funding would be drawn from a separate granting pool to be disbursed specifically to support Net2 organizer travel and education.
[textarea]

Are there any other details that you would like to share with us, questions or reasons why your event should be supported?
[textarea]

Optional attachment