ENSEMBLE OR EVENT PROPOSAL Title of Event: Ensemble(s) Participating: Date (month/day/year) and Time: Location: Dress Rehearsal(s) Date (month/day/year) and Time: Dress Rehearsal(s) Location: Requested Rehearsal #1 Requested Rehearsal #2 Faculty coordinator: Faculty Phone and email: Paid from COMO allocation/ Symposium Funds/or other? PR Statement (required) ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Expected Attendance Number of performers Special Tech Requests (check all that apply) Light Plot Sound Design Stage Manager/Runner Hazer Microphone (# of microphones ________) Please Note Any Other Special Requirements Type of Event Concert / Recital Speaker / Lecture Theatrical Presentation Dance Public Event -Ticket Price Range _______________ Private Event Other ____________________________________ Tech/Room Needs (check all that apply) Piano # Chairs on Stage # of Music Stands Risers Screen and Projector Podium Dance Floor Sources of Revenue to fund Ensemble/Event: Ticket Sales How many: Price: Participant Tuition Fees How many: Price: (ex. SRS, PAS, etc) TOTAL: $ Sources of Expense from Ensemble/Event: Ticketing/personnel Base Set Up Fee $20.00 Ticketing Personnel $33.75 EXPENSE TRACKER Ticket Total: # of tickets _______ x $1.07 _______ TITLES OF WORKS Cost of Score/Parts # OF COPIES Print out with thumbnail of score and price from website (attach to this form) Yes / No COMO Information Yes / No Yes / No Yes / No COMO Total: Yes / No PAYMENT AMOUNT (per service) RINGER NAME # OF SERVICES SIGNED LETTER OF INTENT (attach to this form) Yes / No Yes / No Ringer Information Yes / No Yes / No Ringer Total: Yes / No Honorarium/ Guest Artist or Lecturer (not for ringers) How is this being paid for: COMO Funds Dept Symposium Funds Name: __________________________________________________ Phone: ________________________ E-mail: _________________________________________________ How much is the payment?_______________ When does artist expect payment? ___________________ (Note: If Artist expects check in hand after performance you must request this 2 months ahead.) If a guest artist, work with Stacy Rutherford in the Business Office (Winter Center-rm 205) to issue a contract. Honorarium/Guest Total: How is this being paid for: COMO Funds Hotel Accommodations (please budget $110/night per room) Dept Symposium Funds # of people/ # of rooms?____________________ Check in/Check out Dates? ____________________ Hotel Total: Where do you want them to stay?______________________________________ (Please see the purchasing website for University Hotel Policies: http://www.millersville.edu/purchasing/index.php) Flight Information How is Flight being paid for: COMO Funds Dept Symposium Funds (Please Note, students will look up and print a “ticket” and price for COMO. In the meantime, please budget $500/roundtrip flight) Incoming Flight (to MU) Travel Information Departure Date: ______________ Departure Airport: ______________ Arrival Airport: ____________ Returning Flight (from MU) Return Flight Date: ____________ Departure Airport: ______________ Arrival Airport: ____________ Supplies RENTAL CARS MUST BE PAID FOR THROUGH SYMPOSIUM FUNDS Rental Car Information - (please budget about $50/day) Rental Car Needed: ____________ # of Days Needed: ___________ SUPPLIES MUST BE PAID FOR THROUGH SYMPOSIUM FUNDS What do you need done (estimate prices: programs $80, posters $30, copies, etc.): ______________________________________________________________________________________ Flight/Car Total: Supplies Total: ______________________________________________________________________________________ MEALS MUST BE PAID FOR THROUGH SYMPOSIUM FUNDS (please budget about $15/meal) Meals: Yes ______ No _______ Meals/Reception How many people need meals? _____________ How many meals needed for stay? _____________ -------------------------------------------------------------How is this being paid for: COMO Funds Dept Symposium Funds Reception: Yes _____ No______ Meals/Reception Total: (please budget about $400/reception) All EXPENSES Total: What do you want to have served?__________________________________________________________ ______________________________________________________________________________________ TOTALS TOTAL REVENUE: __________________ (minus) TOTAL EXPENSES: __________________ (equals) GRAND TOTAL