Intersession Submission Form

Intersession Proposal Form *Bolded fields are required.
First Sponsor Name  
First Sponsor Telephone
First Sponsor E-Mail
Second Sponsor's Name
Second Sponsor's Telephone
Second Sponsor's E-Mail
Third Sponsor's Name
Third Sponsor's Telephone
Third Sponsor's E-Mail
Staff Liaison
Title
Description  
Prerequisites
(if required)
 
Time
Time slots

Morning (8:30-11:30 am)

Afternoon (1:00-4:00 pm)

Evening (6:30-9:30 pm)

Minimum Number of Students
Maximum Number of Students
What will students know and be able to do as part of this session?  
Please provide an overview of daily activities.  
How do you plan to assess student learning?  
Estimated cost and proposed source of revenue for activity  
IMSA Resources (equipment, transport, location) requested  
Significant commitments or arrangements sponsors would need to consider?