McDougal Center Programming Worksheet

Name of Event

Fellow Program Area

Date (mm-dd-yyyy)

Time (from-til)

Place

Location; Has room/space been reserved, if needed?

Description of Event:

Organizer(s)

Email Address

Your status@ McDougal Center

McDougal Fellow

GTC Fellow

McDougal Staff member

Other

Expected Program Attendance

Projected Program Budget: Describe expected McDougal $$ resources, ticket cost paid by participants if applicable, sponsorships, etc:

List Service(s) Requested Below:

Food: proposed menu, source, people to be served:

Will you need to use the McDougal "Pizza Card"(restaurant-only master card)? See staff in 123 HGS.

Beverages, including alcohol (proposed quantities, source, people to be served):

Transportation (type, number of passengers, times of departure/return, and destination address):

Will tickets be purchased, or created at Center, and sold @ McDougal Box office? IF so, give number, price paid, source, cost to be sold to students.

Supplies or services: special fees or honoraria, room rental or setup, or other supplies and services:

Contacts for speakers, performers or arrangements- Name, organization/office, email:

Other program notes

Program adviser approval (initials, date- staff use)

Program Evaluation and Usage

To be completed by Fellow and staff after program- Also remember to revise planning info (menu, supplies, etc) ABOVE based on what was actually used/provided/done

Actual attendance or Ticket sales

Fellows a/or Staff Evaluation & Comments on Program (esp. for next time)

Poster, menu, supply list or other material from program: If needed, attach a file here for future reference:

Attach another file if needed

Food costs & source

Food Notes (quantity, leftovers, quality, audience liked it)

Beverage costs & Source

Beverages Notes (qty, quality, leftovers, etc)

Transp. cost

Other Costs

Ticket income

$$ Unsold Tix/Loss if any

RFS #s

Roma/PFG order #