Regional Events Funding Form 2019

Name *

Email Address *

Home Address *

Phone *

Bosch Year (e.g. Bosch XXIV or 2014-2015) *

Event Title *

Event Date *

Event Location *

Amount Requested $ *

Local Stakeholders to be invited *

Expected number of participants *

Co-hosts: Will you be hosting and/or planning this event with additional Bosch alumni? If so, please list them here. *

Event Description *

Will this event be suitable for video and/or audio recording for the RBFAA website? *

Event Budget

Please indicate the price per attendee in USD or EUR and also include a detailed breakdown for event components such as catering, room rental, speaker fees, travel expenses, etc.

Budget Breakdown *

Please feel free to attach any further documentation with your request. Accepts PDF, Word or Excel documents only.