Bonus Trip and Event Proposal Form
Bonus Trip and Event Proposal Form
OLLI@Furman Bonus Trip and Event Proposal Form
1.Date Submitted
1.Date Submitted
/
MM
/
DD
YYYY
2. Requested Term
2. Requested Term
Fall (September-November)
Winter (January-March)
Spring (March-May)
Summer (June)
3.Coordinator of Bonus Event/Trip
3.Coordinator of Bonus Event/Trip
First
Last
Email
Phone
Phone
-
###
-
###
####
4.Topic or Title of Bonus Event
5. Has this event been offered before?
5. Has this event been offered before?
Yes
No
6. Speaker or Tour Leader
6. Speaker or Tour Leader
First
Last
Address
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
United States
United Kingdom
Canada
Australia
Netherlands
France
Germany
-------
Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
Gabon
Gambia
Georgia
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
New Zealand
Nicaragua
Niger
Nigeria
Norway
North Korea
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Email
Phone
Phone
-
###
-
###
####
7. Instructor or Tour Leader's Bio
Maximum of
35
words allowed.
Currently Entered:
0
words.
8. Course/Tour Description
Maximum of
250
words allowed.
Currently Entered:
0
words.
9. Minimum and Maximum Student Limit (example 5-140)
How will event be presented?
How will event be presented?
In-person
Zoom
Hybrid
10. First Choice Date Preference
10. First Choice Date Preference
/
MM
/
DD
YYYY
Second Choice Date Preference
Second Choice Date Preference
/
MM
/
DD
YYYY
Third Choice Date Preference
Third Choice Date Preference
/
MM
/
DD
YYYY
11. Preferred Start Time
11. Preferred Start Time
10:00 a.m.
1:00 p.m.
Other
12. Suggested End Time:
13. Will you need access to a computer?
13. Will you need access to a computer?
Yes
No
14. What equipment do you require for your presentation?
14. What equipment do you require for your presentation?
DVD player
Document camera
Computer
White Board
Flip Chart
Natural Lighting
Other please specify
15. Do you have a preferred HC room or meeting location (Herring Center, PAC, Rolling Green Village)?
16. Do you require any additional material fees or materials from your students?
17. Directions/Additional Information.
Would this class (or BTE) lend itself to an OLLI Travel opportunity?
*Editorial Disclosure*
OLLI@Furman reserves the right to make editorial changes to course description(s) based on content, length, verbiage, grammar or Furman University editorial guidelines.
Submit