Virtual Event Request Form

Please read Lang Event Planning Guidelines before completing this form.

Full Name*

First NameLast Name

Email Address*

example@newschool.edu

Academic Department:*

If other, please enter department below:

Event Type*

Virtual (Zoom)In-personJob SearchStudent Project

Contact phone number*

Preferably your mobile phone or office telephone, where event's IT, facilities or the security desk can easily reach you.

Please select the Job Search format*

Virtual (Zoom)In-person

Please select the preferred Zoom format:*

Zoom Meeting (capacity 300)Zoom Webinar

Would you like your Zoom meeting/webinar to be passcode protected?*

YesNo

If requesting an in-person event, please enter preferred on-campus location(s):*

All student event requests that are not associated with a registered Student Success or student leadership organization must have a faculty advisor.

# of Attendees*

Event Title*

Event Date*

Date

Event Start Time*

Event End Time*

Event Description*

Audience Type:*

Upload event promotional material (preferably images/graphics without text): *

Please select any additional promotion you would like for this event:

Printed FlyerDigital BoardSocial Media

Social Media Handles (@names) for Event Participants:

Example: Twitter: @eugenelang, Instagram: @eugenelang, Facebook: @eugenelangcollege

Will this event be recorded?

YesNo

For events that will be recorded, all speakers that are not New School faculty, students or staff are required to complete the Lang Event Release Form.

Would you like a post-event message including the event video recording to be sent to registered attendees?

YesNo

Will you need event day-of support? If so please explain:*

Events IT Request(s) (i.e. microphones, laptop, projector, Zoom support etc.):

Facilities Request(s) (i.e. tables, chairs, podium etc.):

Will this event be catered?

YesNo

Please enter catering details below:

Are there travel accommodations associated with this event?

YesNo

Please enter travel details below:

For example: Airfare, hotel, transportation

Will speakers be paid an honoraria?

YesNo

Honoraria Details

	Legal Full Name	Email	Amount ($)	External Guest or Part-Time Faculty?	Payment Address	Is payee a foreign national?	Will payment be US Dollar?
Honorarium #1
Honorarium #2
Honorarium #3
Honorarium #4
Honorarium #5

If you need to enter addtional honoraria details, please do so in the field at the end of the event request form where you can add addtional event information.

Does this event have partners?

InternalExternalNo

Which department is responsible for the development of the event agenda/content?

Which department will be responsible for entering the event in Splash?

Which department will be responsible for coordinating AV/IT logistics?

Which department will be responsible for event promotion?

Which department will be responsible for catering?

Which department will be responsible for event costs?

	Department
Catering
Venue
Participant Fees
Promotional Materials
Miscellaneous
Other

External partnerships need to have a completed Event Collaboration Agreement Request Form

External Partners Names (for promotion):

Is attending or participating in this event part of course requirements for students? (which courses/faculty)

Please provide any additional information regarding your event (i.e book raffle information, additional honoraria etc.):

Lang Event Request Form