Fillable FinalDEEOACGrantApplication Accessible 3 1 17 Ua DEEOAC Grant Application

Fill Online, Printable, Fillable, Blank FinalDEEOACGrantApplication Accessible 3 1 17 Ua DEEOAC Grant Application Form

Use Fill to complete blank online CERRITOS COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

FinalDEEOACGrantApplication Accessible 3 1 17 Ua DEEOAC Grant Application

On average this form takes 5 minutes to complete

The FinalDEEOACGrantApplication Accessible 3 1 17 Ua DEEOAC Grant Application form is 3 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 21 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Cerritos College

BROWSE CERRITOS COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Diversity, Equal Employment Opportunity Advisory Committee
Grant Application
General Information
Applicant Name:
Group Name (If applicable):
Email & Phone:
Today’s Date:
Event Name:
Event Date:
Projected Event Cost (total on budget excel sheet):
Please review the Diversity Certificate Guidelines. Do you hope to have your event qualify for
the diversity certificate? Yes No
Have you received funding for this event in the past? Yes No
List all other co-sponsors:
List all sources of funding:
Information Required if paying for Speakers/Third Party Performers***
Contractor/Company Name:
Address:
Phone:
Fax:
Email Address:
Tax ID or Social Security #:
***Include a bio or CV/resume of the speaker/3rd party performer
Purpose & Educational Value Statement
Please attach a document with the following:
1) List the goal(s) and/or action(s) that aligns Diversity plan that your event aligns with.
2) How does the event relate to your department’s, group’s, or organization’s mission?
3) Describe the educational impact of this event. How will this event benefit the Cerritos
College community.
4) In 250 words or less, please explain how your event connects to the Diversity and/or
Equal Employment Opportunity plans.
5) Optional: please provide any additional information that the committee should review
(event flyer draft, speaker vitae/resume, conference program, etc).
Acknowledgments
By submitting this form, I acknowledge that each of the following policies and rules will be met.
a.
Within two weeks after the event ends; complete and submit to Donna Sheibe in the Office of Human
Resource Services the following:
i. Actual expense report
ii. Self-evaluation form
iii. Event Evaluations
iv. Original invoice(s) (signed by the requester) for payments made directly by the DEEOAC
v. A completed claim statement or petty cash voucher along with original receipt(s) for
reimbursement payments
b.
All event advertising will include the following language for accommodations for ADA accessibility
(copy/paste);
“To request accommodations, please contact Dr. Valyncia Raphael at vraphael@cerritos.edu”
c. All event advertising must include the DEEOAC logo and the Cerritos College logo
Signed
Name: Date:
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

FinalDEEOACGrantApplication Accessible 3 1 17 Ua DEEOAC Grant Application

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 17 February 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document