Outreach Activity Proposal

Activity Details

Please fill out the following details related to the activity. For help preparing your proposal, consult our guidelines.

1. What is the activity title? *This question is required.

2. Are you applying for funding, Fields venue space, online event logistical help, or all three? *This question is required.

Funding
Fields venue space
Online event logistical help

How much funding are you requesting from the Fields Institute? *This question is required. This question requires a valid number format.

3. What is the preferred activity location? *This question is required.

Please provide the location details.

Venue (if known)

City/Town *This question is required.

Province/State/Region *This question is required.

Country *This question is required.

While we cannot guarantee your choice of dates, if your proposal is accepted, we will make every effort to accommodate your preferred dates at the Fields Institute.

4. Please indicate activity dates. *This question is required.In addition to the first preferred date, you may provide two alternate dates. As minimum lead times are recommended, activity dates may affect your proposal deadline. Please review the deadline guidelines.

Start Date *This question is required. This question requires a valid date format of YYYY/MM/DD.

calendar

End Date *This question is required. This question requires a valid date format of YYYY/MM/DD.

calendar