Special Seminar Meeting Planning Form

Have you received additional funding approval from the University Seminars office?*

YesNo

Email Pamela Guardia at pfg2106@columbia.edu. Include the following in your email:

A justification for your special seminar event.
A list of non-budgeted items required.
The approximate amount needed.
Any other sources of funding for the event.

For more information, visit the Special Seminars Meeting page on the Administrative Portal.

Primary Chair/Member Event Organizer*

First NameLast Name

Primary Email*

example@example.com

Primary Phone Number

Please enter a valid phone number.

Primary Seminar Affiliation*

List other Chair or Member Organizers

Rows	Chair/Member Full Name	Email Address	Seminar Affiliation
1
2
3
4

Rapporteur Work Hours:

20-Hour Rule for Graduate CU Students: Full-time Columbia University graduate students may not work more than 20 hours per week across all CU positions held. Many rapporteurs hold multiple positions at Columbia in a given semester.

Ideally, a rapporteur can work up to 15 hours for a given meeting. If your special meeting requires more than 15 hours, check with your rapporteur to ensure they are available to work the extra hours. If they are, send a written justification for the additional hours to Gesenia Alvarez at ga2030@columbia.edu.

Rapporteurs who also hold student officer appointments (teaching fellows and assistants, research assistants, preceptors, readers, etc.) must disclose their rapporteur work with their academic or CUIMC departments. Some departments may request additional documentation, others may have limitations on work hours. If you have any questions, contact Gesenia Alvarez-Lazauskas (ga2030@columbia.edu) for additional guidance.

University and academic holidays must be observed.

Additional Amount Approved by The University Seminars*

If you have received additional funding from another source (i.e. other CU department, donation, etc.) please note below.

List Other Source of Funding (if any)

Rows	Type	Amount Expected	Organization	Contact Name	Contact Email
1
2
3

Describe how you will use these additional funds

Describe Non-University Seminars funds

Full Event Name [and subheading - this will appear in the newsletter, website, and annual report - 50 words or less]*

0/52

Event Description [this will appear in the newsletter, website, and annual report - 250 words or less]*

0/250

Event Location*

Faculty HouseOther Location

Event Date

Date

Start Time

Hour Minutes

AM/PM Option

End Time

Hour Minutes

AM/PM Option

Additional Notes About Special Seminar Meeting

Other Location Name and Address

Expected Number of Attendees (FH only)

10 or less11 - 2021 - 50

Will you require multiple room reservations at Faculty House (i.e. for plenary, break-out sessions, meals, simultaneous presentations, etc.)

YesNo

Do you require Audio Visual equipment (FH only)

YesNo

List audio visual needs here

E.G. Microphone, podium, projector, laptop, MacBook, etc.

Catering Needs (check all that apply)

Describe other catering needs

Add Notes or Special Accommodations requests here

Upload Preliminary Program (if available)

File Upload Other Materials

Special Seminar Meeting Planning Form

Seminar & Contact Information

Rapporteur Work Hours:

Special Seminar Funding

Event Name and Description

Event Materials