LWVNYC Event Request Form
Your Organization's Name
*
Event Type
*
Please Select
Voter Registration Training
Voter Registration Drive Only
Civic Engagement Presentation Only
Both Voter Registration Drive and Presentation
Other (will describe in Notes Section below)
Date of Event
*
-
Month
-
Day
Year
Date
Start & End Time
*
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Event Address
*
ex: 4 West 43rd St., New York, NY 10036
Nearest Transit
*
ex: A,C Trains, M40 Bus
Event Contact Name
*
Event Contact Email
*
example@example.com
Event Contact Phone
*
Please enter a valid phone number.
Title of Event (if applicable)
Number of Participants Expected at Event
A rough estimate is appreciated.
Languages Spoken
English
Spanish
Other
Will table and chairs be provided for volunteers (2-4)?
Yes
No
Unsure
Will there be a computer/projector screen available for presentations?
Yes
No
Unsure
Will there be WiFi available?
Yes
No
Unsure
Any notes/comments you'd like us to know about this event?
Submit
Should be Empty: