Event Request Form

  • Point of Contact

    Please list who the point of contact is for the event.
  • About the Event

  • Please enter the name of the event.
  • Please enter a brief description of the event and the target audience.
  • MM slash DD slash YYYY
    Enter the date of the event. If the event is a time frame (several days or weeks) please indicate the START date.
  • Please list the start and end times for the event. Please include set up and tear down/clean up time.
  • Please indicate which room(s) will be used for the event. Please include all rooms, regardless of the length of time needed.
  • In the event that your primary location is unavailable, please select a secondary location.
  • Please indicate if a child care room is needed. This is not a request for child care support. You need to provide your own sitters.
  • Please indicate all the supporting resources needed (Audio/visual; child care; music; keys needed).
  • Section Break

  • Please describe, in detail, the needs of this event.
  • Row

  • Anything else we need to know about your event?