BUDGET WORKSHEET


This form should be submitted if a workshop proposal includes a request for UC support


Title of Workshop:
 

    A. UC support requested:
     
      1. Instructor/Presenter Costs:
        Honoraria:
        Travel:
          Airfare:
          Ground transportation:
        Lodging:
        Per Diem (based on campus-specific rates):
      2. Site Fees:
        Conference room(s):
        Audiovisual or computer rental equipment fees:
        Other fees (e.g. technician):
      3. Materials (e.g. handouts):
      4. Catering:
      5. Contingencies:

     
                  Total UC support requested: $ ____________

    B. Other sources of funding (please explain):