Chapter Lectureship Subsidy

Submit the form below by March 1, 2023 for funds to be used between July 1, 2023–June 30, 2024. Funding decisions will be announced in May.

Note that lecturers must be selected from the 2023-2024 list of speakers.

Chapter Information:

Chapter Name: *

Chapter Number: *

Chapter Country: *

Chapter City: *

Chapter State: *

Chapter Province: *

Applicant Information:

First Name: *

Last Name: *

Email Address: *

Chapter Position: *

Previous Lectureship Event Information:

Attendance at Last Lecture:
(Estimated, if applicable)

Previous Lectureship Event Description:
(Description of last lecture your chapter hosted, if applicable)

Proposed Lectureship Event Information:

Lecturer Choice #1: *

Lecturer Choice #2: *

Tentative Date of Lecture: * +

Rationale for Lecturer Selection:
(How does your choice of lecturer support your local chapter programs?) *

Event Plans:
(Describe planned activities and promotional efforts related to the visit of a Distinguished Lecturer.) *

Proposed Budget:

Please provide information on the total cost of hosting a Distinguished Lecturer, along with information related to outside funding and the total requested from Sigma Xi.

Honorarium:
(Must be at least $300) *

Airfare: *

Ground Transportation: *

Lodging and Meals: *

TOTAL EXPENSES:

$0.00

Less Other Funding: *

TOTAL REQUESTED FROM SIGMA XI:

$0.00

Other Funding Sources:
(Please describe other funding sources or provide justification if no other funding sources are available.) *