Event Clearance Form

Event Clearance Form

Office of Student Involvement & Leadership Development
Please complete the following form if you plan to host an event and make sure complete the fields related to the type of event you will have.

Event Clearance Forms must be submitted to OSILD at least 2 weeks prior to your event or your space will be cancelled.
Student Organization*
Your Name*

First NameLast Name
Your Email*
Please use your worcester.edu email address
Program Coordinator*

Christine PulsiferKristie McNamaraLinzy MartinezSarah Potrikus
Program Coordinator Email*
This field will autofill based on your selection above
Primary Advisor Email
This email will autofill based on the information submitted above.
Event Name*
Please provide a brief summary of your event.*
Event Open to*

WSU CommunityOther CollegesGeneral Public
Anticipated Attendance*

Event Details
Event Date*

MonthDayYear
Event Time*

AM/PM Option

to
until

AM/PM Option
Setup Time*

What time would you like access to the space to set up/decorate?

AM/PM Option

Room Setup Information
Please select the setup that best fits your event*

Hollow SquareU-ShapedRoundsPodsLectureEmptyOther
If you selected "Other" above, please use the box below to describe your desired setup. OSILD & CESO will do their best to accommodate setup requests, but they may not always be met. You may also select to upload a PDF of your room setup request.
Room Setup Description
Diagram Upload

Cancelof
You can access room and space diagrams here.

Anticipated Budget Line*
Which line of your budget would this event come from? If you are unsure, write unknown.
Anticipated Event Cost*
This does not need to be exact, but provides an idea for your Program Coordinator.
Will you be charging admission for this event*

YesNoUnsure

Reminders

You event is not approved until you receive confirmation from your Program Coordinator. If your Program Coordinator needs more information about this event, they will reach out to schedule a meeting.
Please click "Submit" to submit your Event Clearance Form.
Should be Empty:

Event Details