Event Activity Request
Name
*
First Name
Last Name
Email
*
example@example.com
What type of event do you want to produce?
*
Conference
Workshop
Social or Networking
Exhibition
Webinar or Live Stream (single event)
Webinar or Live Stream Series
Awards Ceremony
Other
What type of event do you want to produce?
*
Please Select
Conference
Workshop
Social or Networking
Exhibition
Webinar or Live Stream (single event)
Webinar or Live Stream Series
Awards Ceremony
Other
Please describe 1
How do you want the event to be delivered?
In person only
Online only
Both in person and online
Location
What type of social event?
Breakfast
Lunch
Dinner
Cocktail
Other
Please describe 2
Has this event been run by the College before?
*
Please Select
Yes
No
Has this event been run by the College before?
Yes
No
What was the name of the event?
Describe the event you would like to produce:
*
Please describe the event and what do you want to achieve with this event? What are the objectives and do you have a proposed name of this event, if has not been run before.
Who is your proposed audience?
*
Who is this event intended for? For example, all members, a particular region or experience level.
Do you intend to work in conjunction with another organisation or group?
*
Yes
No
Please describe 3
Do you intend to work in conjunction with another organisation or group?
*
Please Select
Yes
No
Has the College State Faculty been consulted?
*
Yes
No
Not Required
Further information
Please provide details on how the faculty have been consulted.
Has the College State Faculty been consulted?
*
Please Select
Yes
No
Not Required
Proposed date:
*
Do you have a preferred date and duration? The proposed date is not final until we confirm. Due to the importance of coordination of the overall ACEM events calendar, the date or dates are subject to change based on content, resourcing and planning.
Organising team members
Yes
No
Please list first/last name and email of the proposed organising team
Please indicate if you would like help organising a team
Yes
No
Organising team members:
*
Please Select
Yes
No
Do you have a proposed team? In most cases events will need an organising team to support the delivery of the event.
Costs:
Delegates can attend at no cost
Delegates will be charged a registration fee
Do you currently have funding to support this event?
Yes
No
Please describe 4
Costs:
*
Please Select
Delegates can attend at no cost
Delegates will be charged a registration fee
All ACEM events have costs associated with running them. Please advise select whether delegates will be charged a fee to attend, or whether the event will be offered free of charge.
Funding:
Please Select
Yes
No
Do you currently have funding to support this event?
What kind of support are you wanting from the College?
*
The whole package (all of the below)
Registration management
Speaker management
Abstract management
Sponsorship management
Venue management
Website management
Onsite management
Online or onsite AV technical management
Committee/stakeholder management
Budget management
Other
Please describe 5
Do you know of any barriers that may prevent the success of this event?
*
Additional information
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