ThinkWY Road Scholars Tours Application Tour Summary ThinkWy Road Scholars Tours scholars and host or location organizations are encouraged to collaborate and submit tour requests early. Tours will be booked on a first come first served basis. Tours will not be booked after funding has been depleted. Complete applications must be submitted electronically to sheila@thinkwy.org . A complete application includes a completed tour summary plus complete host organization forms for each participating host or location organization submitted together in a single email. Partial tour applications will not be accepted. Tour applications and paperwork are processed after noon on Wednesday of each week. The first event date in a tour must take place no less than five weeks after the Wednesday afternoon following the date of submission. Applications submitted before noon on Wednesday are calculated from that date. Applications submitted after noon on Wednesday are calculated from the following Wednesday. Application submissions must be copied to scholars, host organization and/or location representatives participating in the tour. A lead host or location organization or a ThinkWy Road Scholars Tours scholar may submit the complete application package via email to sheila@thinkwy.org . Submitted applications must be copied to all project directors for the tour and the scholar to be considered complete. Tour applications may not be submitted in pieces by different hosting or location organizations. Each hosting organization should be identified numerically by its chronological place in the tour on the host organization application page. For example the first stop in the tour is Organization 1, the second stop (regardless of whether it takes place the same or next day or in the same town) is Organization 2 etc. ThinkWy Road scholar __________________________________________________________ Date of first event in this tour _____________________________________________________ Total anticipated honoraria for this tour_____________________________________________ List chronologically each presentation title and location for each event included in this tour 1. 2. 3. 4. 5. 6. 7. 8. 9. _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Think WY Road Scholars Tours Application ORGANIZATION Numerical order in tour ___ ThinkWY Road Scholar Name___________________________________________________________ Program Title________________________________________________________________________ Organization Name___________________________________________________________________ Program City________________________________________________________________________ Organization Project Director __________________________________________________________ Organization Project Director Email______________________________________________________ Organization Project Director Phone _____________________________________________________ Program Date & Time_________________________________________________________________ Program Location Name_______________________________________________________________ Program Location Address_______________________________________________________________ If OTHER THAN ORGANIZATION Location Project Director _______________________________________________________________ Email_____________________________________Phone______________________________________ Map miles one way from speaker in-state base or previous event in tour _____________________________ Speaker Honorarium for this event ________________________________________________ Request for a single presentation or two event tour – Explanation of failed efforts to include the minimum of three programs in a single tour located 75 or less map miles one way from speaker’s home base__________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ Justification for scheduled time that is not Noon or after work on a weekday or is morning on a weekend _______________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ Justification for backtracking (traveling more than 75 map miles one way from a hosted presentation in a tour and then traveling back to the earlier area later in the same tour. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ________________________________________________________________ Our organization agrees to provide promotion for this program crediting the Wyoming Humanities Council’s ThinkWY Road Scholars tours and provide documentation of all promotion to the Wyoming Humanities Council. Additionally we will print, distribute to participants and return completed One Minute Impact Statements to the Wyoming Humanities Council with a completed Project Director Evaluation form within one week of the date of the event listed on this form. _ _______________________________________________________________________________________ Signature of Host or Location representative responsible for promoting this event