COEHS Event Request Form

COEHS Event Request Form

For requesting the posting of COEHS-related events on the university calendar and COEHS homepage.
Requester*

First NameLast Name
WIU Email*
example@wiu.edu
Phone Number*
Please enter a valid phone number.
Event Title*
Short Title
Must be shorter than 39 characters. Don't use all capital letters. This is used if the event is chosen for the WIU homepage.
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Is this an all-day event?*

YesNo
Start Time

Hour Minutes

AM/PM Option
End Time

Hour Minutes

AM/PM Option
If event covers more than one day, is this event only on certain days within the date range?*

YesNo
Which days?

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Location*
Write out building names
Description*
Contact Name*

First NameLast Name
Contact Email*
example@wiu.edu
Contact Phone*
Please enter a valid phone number.
"Related Web Site" URL
Where the user can go to find out more information. If you do not currently have one, leave it blank and a basic landing page will be created for your event.
"Related Web Site" URL description
The text that will be displayed for the URL.
Categories - select any that are applicable

AnnouncementsArts & EntertainmentConferences, Camps & WorkshopsCultural Experiences/DiversityGeneral EventsLectures, Colloquiums & Research PresentationsPersonnel Information, Development & TrainingPublic Service & EventsStudent LifeUniversity Governance & CouncilsWIU-Quad Cities
Should be Empty: