Space Request Form
Thank you for your interest in requesting space at the Milken Institute School of Public Health at the George Washington University (GWSPH). Submitting this request does not guarantee a reservation. A staff member will contact you for further details and will let you know if we can accommodate your event.
Email address *
First Name *
Your answer
Last Name *
Your answer
Title
Your answer
Organization *
Your answer
Phone *
Your answer
Affiliation *
Event Name *
Your answer
Event Start *
GWSPH may need to adjust dates or times depending on space availability.
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Event End *
GWSPH may need to adjust dates or times depending on space availability.
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Time
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Preferred Space *
Please select a preferred space option. This does not guarantee a reservation of the space. A staff member will contact you for further details. For capacities and rental rates, please visit our events manual at http://publichealth.gwu.edu/about/events.
Required
Expected Attendance *
Your answer
Target Audience *
Required
*
What percentage of your audience do you expect to be GW students, staff, or faculty?
Your answer
Special Guests
Please list any special guests or speakers you expect, or plan to invite, to participate in your event.
Your answer
Event Description *
Briefly describe your event, including its objectives.
Your answer
Sponsor *
Are you working with another organization to plan this event?
Promotion *
Briefly describe how you plan to promote this event to potential attendees.
Your answer
Marketing and Coverage
Based on availability, GWSPH can assist with marketing your function to our school's community. We may also be able to cover your event. If you would like to request these services, please select them below.
Media *
Will media be invited to attend?
Food and Beverage *
Do you plan to serve any food and beverages? Additional housekeeping charges may apply.
Dean *
Would you like Dean Goldman to speak at your event? Your request is subject to her availability.
Audio Visual *
Please select your anticipated audio-visual needs for the event.
Required
Payment *
If any fees are associated with your event, how would you cover those expenses?
Additional Comments
Your answer
Please complete the captcha before submitting the form.
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