1.  This is a funding request for $______________________.

2.  Name of the event:  _______________________________________________

3.  Sponsor (and co-sponsors) of this event:  _________________________

4.  Is this a first-time event?   Y / N
    If not, are posters or other publicity from previous occurrences of
    this event attached?   Y / N

5.  Date(s) on which the event will be held: __________________________

6.  Will this event be publicized in the GSAS Bulletin?   Y / N

    If yes, which issue?  _____________________________________________
    (deadlines are one month before publication; material should be
    submitted to bulletin@hugsas.harvard.edu)

    If not, why not?  _________________________________________________

7.  Will this event be advertised:

       _____  by posters in appropriate places in Dudley House?

       _____  in the GSAS Residence Halls?

       _____  in the Harvard College Online Calendar?
              (see http://www.hcs.harvard.edu/~gsc/events/online.shtml)

       _____  in the Harvard Crimson Calendar Online?
              (see http://www.thecrimson.harvard.edu/calendar/)

The GSC must be recorded as a "contributor" on posters and flyers, or
other advertisment of this event.  A copy of the flyer or other forms
of publicity must be submitted to the GSC Treasurer in order to
receive any allocated funds.

8.  Describe the event briefly.  Attach posters or other publicity.

    ___________________________________________________________________

    ___________________________________________________________________

    ___________________________________________________________________

9.  How many GSAS participants are expected? ________   Others? _______

10. List other sources of funding the amounts requested, and the 
    current status of such requests.

                                                     STATUS OF REQUEST
      SOURCE                   AMOUNT                Yes   No   Pending

    ___________________________________________________________________

    ___________________________________________________________________

    ___________________________________________________________________


11. Please attach a detailed budget for the event.  (Failure to do so
    will result in GSC denial.)




12.  Signature:  __________________________   Date:  ___________________

     Position:  ___________________________



Submit with Form 1 to the GSC Office.