NSA Michigan Event Request Form
NSA chapter leaders should use this form to submit project requests related to events to the chapter administrator. Please complete this form in its entirety. The omission of any requested information may lead to a delay in task completion.
Submitter Information
Name
*
First Name
Last Name
Email
*
example@example.com
Event Information
Event Date
*
-
Month
-
Day
Year
Date
Event Start Time
Hour Minutes
AM
PM
AM/PM Option
Event End Time
Hour Minutes
AM
PM
AM/PM Option
Repeating Event?
Please Select
No
Weekly
Monthly
Yearly
Does this exact event repeat? For example, a weekly mastermind group with the same logistic details for each meeting.
Event format
*
In-Person
Virtual
Hybrid
Other
If you selected "other" in the format field, please explain.
Event Location
Attendance Eligibility
*
Members Only
Members + Invited Guests
Open to the Public
Other
If you selected "other" in the attendance field, please explain.
Ticket Cost
*
What is the ticket cost for members? Non-members? Is there an early-bird price?
Event Title
*
Guest Speaker or Host's Name
*
Description of Event
*
Please submit a description of the event, including learning objectives. If you'd like to attach a file instead, please note that here and include in the attachment in the next field.
Event Description Attachment
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Guest Speaker's bio and headshot link
*
A link to the guest speaker's bio and headshot. Alternatively, attach files in the next field.
Guest Speaker's Bio and Headshot
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Promo Email Schedule
Submit the dates email campaigns should be sent. If no schedule is submitted, email campaigns will be sent at the chapter administrator's discretion. Email campaigns are scheduled at the time the event is posted on the website.
Promo Email Content
Browse Files
Drag and drop files here
Choose a file
If you would like to submit specific copy to be used in email promos, attach your file here. If nothing is submitted, the event title and description will be used to create copy.
Cancel
of
Other info?
Is there any other relevant info about this event?
Submit
Should be Empty: