Your Information Name * Email * Role / Title * - Select -ChairVice ChairSecretary / TreasurerOther Role / Title Other Activity / Event Details District / Section * - Select -CentralInternationalMidwestNortheast SectionSouthWest if this is a chapter activity please select your 'district;' if this is a section activity please only select the 'section' option Chapter / Section * - Select -ArizonaAtlantaBostonCarolinaCentral New YorkChicagoCommunicative EnvironmentsDesign for the MajorityDesign HistoryDesign ManagementDesign ProtectionDesign ResearchEco DesignFloridaFurnitureHousewaresHuman InteractionIndianaJinhua (China)Kansas CityKentuckyLos AngelesMaterials & ProcessesMedicalMichiganMid-AtlanticNew York CityNorthern LakesNorthwestOhio CentralOhio NorthernOhio SouthernOregonPhiladelphiaPortland (Maine)Product DevelopmentProvidenceRocky MountainSageSan FranciscoSan JoseSt. LouisStudentsTexasTransportationWestern PennsylvaniaWomen in Design Brief Description * URL / Link e.g. Eventbrite link (this helps IDSA promote on your behalf) Activity / Event Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year201920202021 Start Time * Hour hour123456789101112 : Minute minute00153045 am pm End Time (if applicable) Hour hour123456789101112 : Minute minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm How will content be captured? * How will IDSA be promoted? * Activity / Event Finances Estimated Attendance * Estimated Revenue * Revenue Details * list all anticipated revenue: ticket sales/prices, sponsorships, etc. Estimated Expenses * Expense Details * list all anticipated expenses: venue fees, food and beverage, prizes, etc. Estimated Profit or Loss for Activity / Event * Do you anticipate that IDSA will need to sign any venue agreements, sponsorships or other agreements? * - Select -YesNo Other What support do you need from IDSA? Additional Comments
