1

Is this for a new event?* This field is required.Please select NO, if you are changing the detail or cancelling a previously planned event

YESNO

2

Has location been confirmed?* This field is required.Has the coordinator for the event location confirmed that it is available for the date & time requested?

YESNO

3

Event Name:* This field is required.What is the name of the event?

4

How often will this event occur?* This field is required.

One Time

Daily

Weekly (drop down for DOW)

Monthly on the (1,2,3,4 occurence of DOW)

Annually on this day

5

Dates for this Event (Start Date)* This field is required.

6

Dates for this Event (End Date)* This field is required.

7

Check Date (for condition purpose)

8

Times of the event (Start time)* This field is required.Please make sure your ending time are greater than your starting time

Hour

Minutes

9

Times of the event (End time)* This field is required.Please make sure your ending time are greater than your starting time

Hour

Minutes

10

START TIME (conditional logic)

11

END TIME (conditional logic)

12

Location:* This field is required.What location is reserved for this event? Please select from the drop down list below. If your locations is not listed, please leave blank and add it to the event description/ comment box below

13

Event Description and Comments* This field is required.A place to leave more specifics about the event.

0/800

14

How many people expected?A ballpark estimate

15

Would you like the publicity dept. get the word out about your Event* This field is required.If you answer YES, an email will be sent to a member of the publicity dept.

YESNO

16

Are refreshments/coffee/water needed for this event?* This field is required.Please choose one of the following options from the drop down box

17

Is Audio Video needed for this event?* This field is required.If you answer YES, an email will be sent to the A/V team.

YESNO

18

Meredyth Email Event Description:* This field is required.This is the description of the event that will show up in Meredyth Email. The deadline to submit is by 3:00 p.m. CST.

0/800

19

Date to submit Meredyth Mail:This is the date you wanted this event to be published in Meredyth mail.

Date

20

Event Coordinator Name:* This field is required.Please enter the name of the primary event coordinator.

First Name

Last Name

21

Email of the Event Coordinator* This field is required.

example@example.com

Confirm Email

22

Phone Number of the Event Coordinator* This field is required.

23

Thank You!

Please send an email to dgeehot@gmail.com to change or delete your event.

24

Please select the correct Start & End date

Click the "Previous" button to go back.

25

Start and End Time should not be the same

Click the "Previous" button to go back.