Ramapo College of New Jersey || Student Development

Platinum Series Faculty Request Form:

The Office of Student Activities is preparing for the Fall 2007 Platinum Series and wants to
co-sponsor with YOU.

Sponsored by the Office of Student Activities, the Platinum Series complements academia through three objectives:

Provide intellectually challenging and enriching programs
Expose students to the arts and various creative forms of expression
Create opportunities for students to interact with faculty outside the classroom

Platinum Series events take place outside class time, and provide a complement to the curriculum. Events need to be open to all students and have a sign-up sheet located in Roadrunner Central (for any off-campus trips). Special consideration will be given to trips that occur on weekends.

Faculty members may request up to $500 toward an event that meets the objectives of the Platinum Series. Approximately ten awards will be made for fall 2007 semester. An individual faculty member may apply for no more than two programs. Light refreshments may be considered for program requests that indicate a need, but the priority is for funding to support program content.

To request Platinum Series co-sponsorship funds, submit this completed request form by June 15, 2007. Recipients will be informed by e-mail and/or phone in early August.

PLEASE USE ONE FORM PER REQUEST.

I. Faculty Information:

Name:

Department:

Campus Extension:

Alt. Phone:

E-mail:

Alt. E-mail:

II. Programming Categories:

The following is a list of programming categories. Select an appropriate category.

World Cinema: List Film & Country (if applicable) and a brief description. Will there be a discussion before or after the film? Who will facilitate this?

Museum Meanderings (in or around Manhattan): List museum, reason/plan for trip (i.e., bus and admission fees = $500). Specify if you think you will need a 49 passenger or 14 passenger vehicle.

The Arts (ballet, theatre, dance): Specify event with date or title if known at this time (i.e., 14 tickets @ $35 = $490)

Debate/Lecture/Roundtable: Describe idea and any specifics (i.e., speaker fees vary, transportation)

Book Discussion: List any particular title(s). (If selected, books would be available for participants in SC 200 for pick-up prior to event).

Demonstration/Instruction (a skill or hobby, i.e. chess): Describe idea and supplies needed.

III. Event Information:

Title of the event:

Is this event already planned?
Yes
No

If your event is already planned, what is the date/time?
Date: Time:

If it is not planned, please provide a preferred date and time or day of the week.
Date: Time:

Event Location:

Is the room reserved?
Yes
No

What type of class(es) will benefit from this program/event?

Will you make this program a class requirement or extra credit?

IV. Budget Items Estimated Costs

Total amount requested: $ (estimate, up to $500, if necessary)

Will you receive other funding?
Yes
No

If so please explain:

Breakdown of Expenses:
Please provide as much financial detail as possible.

Speaker (s):
Travel Expenses:
Motor Coach:
Books:
Admission Tickets:
Film:

Other (specify)

Please use the space below to provide as many additional details as possible about the event, as well as your needs for assistance during the planning, organization and execution stages.

Deadline: June 15, 2007

*Please note that all programs must be open and advertised to the entire campus.

For more information, contact:
Deborah Spina, Director of Student Activities
SC-200 or e-mail: student_activities@ramapo.edu

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