UC Blue Ash College <br>Continuing Education Event Request

Continuing education (CE) and development of our faculty and staff are important priorities for our college. If you are interested in hosting a CE event on our campus, please initiate the process by completing this CE Event form. Next steps and follow up will be shared with you via email. If you have any questions regarding the process, please contact the Events Department at events@ucblueash.edu or 936-1732.

This form starts the approval process for having a Continuing Education event at UC Blue Ash College

Event Title*

Planner's Name*

First NameLast Name

E-mail*

Academic Department*

Event Description*

Anticipated Attendance*

What is the intended audience for this event?*

Is there a charge for attendance of this CEU event?*

Membership DuesEvent Attendance FeesOther CostsFree Attendance

Please describe these costs*

Are you partnering with an outside (non-uc) organization to host this event? *

YesNo

Organization*

Timing and Location Details

This section is to establish if your event requires a specific date/time or location. Certain locations at specific dates or times might be unavailable, and will need to be considered in order to approve the event.

What date/time requirements does this event have?*

Event needs to be on a specific dateThere are a few dates that work for this eventThe event date is flexibleOther

Details about any date, time, or location requirements for the event.

Any other notes for the department chair or in general about this submisison or event.

Note: The date and time is dependent on UC Blue Ash College's room availability and ability to poperly support the event, and to avoid conflicts with other activities.

Chair Approval

Department Chair Name*

First NameLast Name

Event Approval*

I approve of this event as it has been submittedI approve this event with changesI do not approve of this CE event

Changes needed*

Reason(s) this event is not approved*

Department Chair Signature*

Chair Access Code

for chair approval portion

UC Blue Ash College <br />Continuing Education Event Request

Timing and Location Details

Chair Approval