Requester / Organization Information
Full Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Organization
*
Organization Type
*
Educational
For Profit/Corporate
Non-Profit
State/Government Agency
Private Party
Organization Website
(optional)
Organization Address
Street Address
2nd Street Address
City
State
Zip Code
Event Information
How did you learn about Stockton as a possible location for your upcoming event?
University Website
Visit to Campus
Stockton Referral Name
Social Media
Event Title
*
Type of event(s): (check all that apply)
*
Day Conference/Camp/Training/Seminar
Overnight Day Conference/Camp
Athletic/Recreational Event
Performance
Banquet/Reception/Catered Event
Filming/Videotaping
Who is the target audience? (check all that apply)
*
Invited Guests Only
General Public
Minors (under the age of 18)
Dignitaries / Officials
Open to the Stockton Community
Number of participants expected?
*
Please select a date(s)
*
Are the dates flexible?
*
Yes
No
Start Time
*
End Time
*
Type of facility(s) needed: (check all that apply)
*
Meeting Room(s)
Athletic Facility(s)
Exhibit Space
Computer Lab
Performance Venue(s)
Banquet/Reception Area(s)
On-Campus Housing (End of May-Beginning of August)
Marine Lab
Do you plan to use catering?
*
Yes
No
Describe any special needs the event or participants may require:
Which campus would you consider for your event?
*
Other Comments?
Submit
Potential date(s) including the year:
*
Should be Empty: