RSS Application Form Section 7 of 8: Financial Information (Continued) Estimated Income all sources of income. Category includes Enter Your Estimated ANNUAL/Program Amount Institutional/Organizational Funds (Internal Department) $ Commercial Support (Educational Grants) $ Exhibit Space $ State or Federal Grants $ Participant Registration Fees $ Other income $ Total Estimated Income: $ Estimated Expenses expenses ONLY in the lines that you incur costs of either direct/out of pocket costs, or time/effort costs. Category Category includes Enter Your Estimated ANNUAL/Program Amount Activity Marketing Posters, Flyers, Graphic designer, print preparation for marketing, education pieces, $ Invitations, etc. and signage Mailing/Postage Self-explanatory $ Faculty Related Expenses Honoraria Honoraria for external faculty; Honoraria and fringe benefit rate for $ internal faculty (if applicable) Faculty Expenses Travel, per diem, misc expenses relating to activity $ Meeting Room Related Expenses Media & AV costs AV Equipment, Audience Response System Equipment $ Facilities Cost Room rental fees for offsite activities $ Participant Related Expenses Catering/Food Food/Catering for either planning committee meetings and/or $ conferences Syllabus/Handouts Direct cost for copying and binding of educational materials $ Accreditation/Certification Expenses CME Application CME application fees including per participant fee, late/rush fees, fees $ Fees for credit Activity Content Time planning the content of the series $ Development Administrative Related Pre-conference staff time, on-site staff time, post-conference staff time $ Miscellaneous office supplies and equipment used in conjunction with $ this activity Registration refunds for overpayment and cancellations Refunds $ Miscellaneous Expenses Total Estimated Expenses $
RSS Application Form Section 7 of 8: Financial Information (Continued) Estimated Income all sources of income. Category includes Enter Your Estimated ANNUAL/Program Amount Institutional/Organizational Funds (Internal Department) $ Commercial Support (Educational Grants) $ Exhibit Space $ State or Federal Grants $ Participant Registration Fees $ Other income $ Total Estimated Income: $ Estimated Expenses expenses ONLY in the lines that you incur costs of either direct/out of pocket costs, or time/effort costs. Category Category includes Enter Your Estimated ANNUAL/Program Amount Activity Marketing Posters, Flyers, Invitations, etc. Graphic designer, print preparation for marketing, education pieces, and signage $ Mailing/Postage Self-explanatory $ Faculty Related Expenses Honoraria Honoraria for external faculty; Honoraria and fringe benefit rate for internal faculty (if applicable) $ Faculty Expenses Travel, per diem, misc expenses relating to activity $ Meeting Room Related Expenses Media & AV costs AV Equipment, Audience Response System Equipment $ Facilities Cost Room rental fees for offsite activities $ Participant Related Expenses Catering/Food Food/Catering for either planning committee meetings and/or conferences $ Syllabus/Handouts Direct cost for copying and binding of educational materials $ Accreditation/Certification Expenses CME Application Fees CME application fees including per participant fee, late/rush fees, fees for credit $ Activity Content Development Time planning the content of the series $ Administrative Related Pre-conference staff time, on-site staff time, post-conference staff time $ Miscellaneous office supplies and equipment used in conjunction with this activity $ Refunds Registration refunds for overpayment and cancellations $ Miscellaneous Expenses Total Estimated Expenses $
2018%20RSS%20Application%20Form%20FINAL.docx