Event Request Form
Has the VP program council approved this event?
*
Yes
Contact Name
First Name
Last Name
Contact Email
example@example.com
Contact Phone Number
-
Area Code
Phone Number
Event Title
Event Date (subject to change/availability)
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Month
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Day
Year
Date
Event Start Time
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Hour
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Minutes
AM
PM
AM/PM Option
Event End Time
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Hour
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10
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Minutes
AM
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AM/PM Option
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
*
Yes
No
if in Adat Shalom, which room?
Social Hall
Sanctuary
MPR - Not handicap accessible
Library
Double classroom
Classroom 8-12
Back porch
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.
Browse Files
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of
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
Printed Flyers
E-mail/listserv - listed below
Other
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
Adults
Teens
Children
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.
Submit
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