Academic Affairs Request Form

1
What is your name?* This field is required.
First Name
Last Name
2
Got it. Now your email address?* This field is required.
example@example.com
3
What is the name of your organization/department?* This field is required.
4
What is your title?* This field is required.
5
What is the best phone number to reach you during business hours?* This field is required.
Area Code
Phone Number
6
Please describe the event that you would like to host on campus.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
7
What's your estimated attendance for the event?* This field is required.
8
What is the date of the event?* This field is required.
Date
Year
Month
Day
9
What space (room, etc) on campus are you requesting?* This field is required.
10
What is the actual start time for the event?* This field is required.You can request additional time for setup and tear down in the setup notes later.
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
10
20
30
40
50
Minutes
PM
AM
PM
11
What is the actual end time for the event?* This field is required.Again, you can request additional setup and tear down time in setup notes in just a bit.
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
10
20
30
40
50
Minutes
PM
AM
PM
12
Is this event a fundraiser?* This field is required.
YESNO
13
Are VIP Guests involved in this event?* This field is required.
YESNO
14
Do you need audiovisual assistance with your event?* This field is required.
YESNO
15
Do you need catering?* This field is required.
YESNO
16
What type of meal will be served?Please note: Any food or beverage service must be provided by the UMHB vendor, Sodexo. The Sodexo catering manager can be reached at catering@umhb.edu for pricing and menu options.
Huge
Large
Normal
Small
Ok
Ok
17
Do you have specific setup requirements or any additional needs?This is also where you can specify additional setup or tear down time needed for your event.
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: