KYCOM Student Club Activity Event Form

KYCOM Student Club Activity/Event Form
Please complete and submit this form to the KYCOM Office of Student Affairs (Coal Building 502) for all club activities/events at least two weeks prior to small activities and four weeks prior to large events. Be sure to include all pertinent information.
Name of Event*
Please briefly describe event*
Date & Time of event start*

MonthDayYear
Date
Hour MinutesAM/PM Option
Club hosting event*
Club contact person*

First NameLast Name
Email*
example@example.com
Club Advisor

First NameLast Name
Estimated number of particpants
Will an external organization or industry be supporting this activity/event?

YesNo
If YES, please explain what type of support you are expecting
Who will be invited to this event?
Do you plan on inviting any alumni, industry/national/political leaders?

YesNo
If YES, who?
Do you plan on inviting any KYCOM or UPIKE faculty, administrators, or staff?

YesNo
If YES, who?
Do you plan on having a guest speaker?

YesNo
Speaker name & title
Business/Industry/Organization Affiliation
Special accommodations needed
How is this activity/event being funded? (Check all that apply):

Club BudgetKYCOM office of student affairsKYCOM SGAOther

Estimated Budget (Please attach descriptions and any quotes from vendors or suppliers) Cost of Venue Food/Catering

(Please attach descriptions and any quotes from vendors or suppliers)- File Upload

Cancelof
Services Needed (Check all that apply): Transportation Food/Catering Security ) Tables/Chairs (#
Services Needed (Check all that apply)

TransportationFood/CateringSecurityDecorationsAdvertisingPhotographerTables/ChairsDJProjector & ScreensSpecial LightingPodiumMusicAudio/MicrophonesStageOther
If Tables/Chairs - List how many below
If Special Lighting please describe below
Please share any other important information about the event below
Required Signatures
Organization Representative

Clear
Organization Treasurer (if using club funds)

Clear
Organization Faculty/Staff Advisor

Clear
Should be Empty:

KYCOM Student Club Activity/Event Form