SAMI Individual Application
Office of Academic Multicultural Initiatives-Please do not use this form if you are applying on behalf of an organization.
Name:
Address:
Phone Number:
UM Email Address:
UM ID Number:
Student Level/Year:
Academic Major:
Program/Event Title:
Start Date:
End Date:
Location:
Requested Amount: (May not exceed $500.
Planned use of SAMI funds:
Total Budget (All costs must add up to the total budget amount):
Facilities Price:
Transportation Price:
Guest Speaker Honorarium:
Hotel Price:
Equipment Price:
Conference Registration Fee:
Supplies Price:
Advertising Price:
Food and Beverages Price:SAMI is prohibited from funding food expenses.)
Feel free to include a budget narrative (optional).
Please list any funds you have already received, and the source(s):
Describe your academic interests and how your proposed project relates to them, and your future professional goals.
Describe the specific details of your proposed project.
Describe the specific details of the conference you plan to attend, including its sponsoring organization, its agenda, scheduled speakers, etc.
Describe the contributions your project would make to the greater campus community and how you plan to make this happen.
How is your proposal directly connected to SAMI's mission, purpose and criteria?
How is your project both academic AND multicultural?
Have you contacted your advisor or a faculty person to submit the letter of endorsement? This is required prior to review.
Yes
No
Submit
Should be Empty: