Campus Event Request Form

Primary contact

Email

example@example.com

Sponsoring academic or administrative unit

Supervisor:

Supervisor's email:

example@example.com

Title of Event or Activity

Proposed Date(s)

Proposed Start Time of the Event

Hour Minutes

AM/PM Option

Proposed End Time of the Event

Hour Minutes

AM/PM Option

Is this event during normal business hours?

Proposed Campus

Proposed Campus Location(s) and Room Numbers

Is this a program with minors?

What is the anticipated number of participants at single event?

Tell us about your event. Provide enough information for us to thoroughly evaluate the request. The description should include how and how much the campus visitors will interact with members of the campus community.

Briefly explain why the event is mission critical to your unit and to the university.

Provide a brief description of your intended participants e.g., children under 10 with parents; older adults What is the role of the participants e.g., audience, receive service or lesson, research participant? Indicate whether the participants likely have increased vulnerability and/or need special accommodations.

Describe your protocol for adhering to public health and safety guidance. This can reference following current campus and location-specific protocols and/or existing standards such as those indicated in the guidance.

Describe food service/delivery, if applicable.

Do you wish for the Dean to participate in this event?

Prepare an estimated budget for the event and obtain supervisor approval.

Rows	Item	Description	Cost
1.
2.
3.
4.

Total Budget Requested

What budget account will used?

Have the costs been approved?

Maintenance Needs: chairs, tables, extension cords, ice, trash cans, keys, alarm codes.

IT Needs: Sound system, microphone, computer, projector, screen, internet access

Tableclothes, Dinnerware and Centerpieces: Margaret Carter (include size and number)

Campus Health and Safety Needs: First responder or alternate safety plan (required), additional security

Communications Needs:

Any additional information

Campus Event Request Form

Additional Needs