Proposal Submission Form

Purpose

This form is intended to capture basic and necessary information about the proposal in one form. We encourage anyone with a good idea to use this form to start the process.

The Process

When finished filling ALL fields on this form, please send it in its entirety (including all pages) to ACCFacilitators@GoogleGroups.com. The Facilitators group will review it and reply to the proposal owner with feedback about the contents. If any fields are missing, the proposal owner will be asked to fill them and resubmit.

Once the form is complete, it will be scheduled to be presented before the ACC Board of Directors/Executive Committee in the next meeting or in subsequent meetings depending on availability. The Proposal Owner will be informed of the date of the meeting and must be present at that meeting to present the idea in front of the committee.

The Board of Directors/Executive Committee will either accept or reject or propose modifications and recommendations back to the proposal owner right in the meeting.

Instructions

On the following pages, you will have a chance to describe your idea. Please be concise and to the point. This is not a detailed plan for your idea. The detailed plan will come after the basic idea gets approved by the committee. Make sure you answer all questions on the form or risk the possibility of rejection.

Activity name:

Proposal Owner Full Legal Name (as shown on the Driver’s License)

Email Address (used for correspondence)

Program Category:

please select one of the existing categories or select “Other” if your intended category is not listed

Dawah & OutreachIslamic Education for MinorsIslamic Education for AdultsArabic Language EducationWorkshops on Social Issues or Civic DutiesYouth ActivitiesSeniors ActivitiesSisters ActivitiesOther, please explain

General description of the idea:

– include only basic information for now. You will have a chance to detail your idea once the proposal is approved by the ACC Executive Committee

Audience Age Groups (years) Check all applicable boxes
5 – 910 – 1415 – 1818 – 2223 – 3031 – 4041 – 5050+

Frequency:

How often does this activity take place. If it is one-time or seasonal, say that

WeeklyBi-weekly (every other week)MonthlyQuarterlyAnnuallyOne Time onlySeasonal or On-Demand

Release of Liability Forms:
If your program requires participants to sign a ROL forms, please list that here. ACC will provide the template for this form

Participants must sign a ROL formParticipants are not required to sign a ROL form

Parental Consent Forms:

If your program requires consent forms to be signed by parents of minors participating in the program, please mention that requirement here. ACC will provide the template

Parental Consent Forms RequiredNo Parental Consent Forms are Require

Registration Fees:

Please list the registration and additional fees that participants must pay to participate in this activity. If there are any additional fees,
please mention frequency (every 3 months, or every year

Registration Fees
Ongoing Additional Fees
Additional Fees Frequency

Startup Capital Needed:

If you need funding to get the program up and running, please specify that amount here

Ongoing Funding Needed:

If you require ongoing funding by ACC to continue to carry out the activities of this program, please list them here

Business Sponsorship:

If your activity is going to leverage funding provided by business sponsors, please list that here
I will supply my own business sponsorship funding by finding my own sponsorsI need support from ACC potential business sponsorsNo Business Sponsorship is Required

Space Required:

If your program requires physical space to be used whether inside or outside the facilities of ACC, please list that requirement here

Security Needs:

If your program requires additional security personnel to be present on ACC premises, please list those requirements here. If you do require additional security personnel, you will have to cover the cost or find a funding source to cover that cost
Additional Security Personnel Needed

Your message (optional)

Use this form to submit your proposal before the Executive Committee at ACC. No proposal shall be considered by the Executive Committee if it is not submitted using this form. Submit completed form to accfacilitators@googlegroups.com