Event Request Form
Has the VP program council approved this event?
Contact Phone Number
Event Date (subject to change/availability)
Date Picker Icon
Event Start Time
Event End Time
Is that a series of event? if so, please write the date and hours (12/31/2019 1:00PM-3:00PM)
Is the location takes place in Adat Shalom
if in Adat Shalom, which room?
MPR - Not handicap accessible
If off-site, what is the event Location? (Please include street address, City and zip code). Please include whether there are stairs and if so how many? Is this place handicap accessible, are the bathroom on the same floor and handicap accessible?
Please write a short blurb (4 sentences/100 words OR LESS!) that can be used in publicizing this program.
Is there a guest speaker or a presenter? if so, do you have a bio at this time
Please upload any images that we can use to promote this event.
The following communication vehicles will be used to promote your event- Website calendar (as soon as your provide info on this form, the office staff will add to calendar) and home page/Facebook (office staff will work with you to schedule); MaChadash (weekly newsletter promoting up to 10 days in advance)/ E-Scroll (if occurring in that month, or a save the date for future month), What other methods other methods would you like to advertise this event? Check all that apply
E-mail/listserv - listed below
To which of these listserv's would you like to sent information about your event?
Who is target audience - Who should this event be marketed towards? click all that apply
Families with young children
Other target audience -Please indicate any other information.
Do you know how many people you expect to be in attendance?
Will attendees need to pay for this event? If so, how much?
What budget line will pay for this event?
Do you have a room set up in mind for your event? If not, Adat shalom staff will confirm room set up one month before event
Please indicate any other needs you may have for this program (such as screen, projector, etc), as well as further details regarding any of the above questions. If unknown, Adat Shalom staff will confirm with you one month before event.
Will Adat Shalom need to pay for speaker,film, caterer? If so, go to Check Request form and complete.
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