Skip to Content
Thank you for contacting the Office of Cultural Affairs and Diversity Initiatives to support your program or activity geared towards advancing diversity and inclusion in the Carver College of Medicine. Your request will be reviewed within 2 weeks of submission.
Should your request be funded, you will be required to submit an evaluation of your program or activity within 30 days. If funds are provided to support professional development, the attendee(s) will be asked to provide an overview of the experience (or give a talk if applicable).
Today's Date: Name: Email: Department:
Date of Proposed Program/Activity/Event: Description of Program/Activity/Event:
Purpose of Program/Activity/Event (select all that apply):
Estimated Number of Attendees or Participants (if applicable): How will this program/activity/event support the goals of the department and the collegiate strategic plan for increasing diversity?
Expected Outcomes: Estimated Total Budget: Requesting Department/Unit Contribution: Funding Requested: How will the money be used?
Copyright © 2014 The University of Iowa. All Rights Reserved.