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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Time
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Event End
GWSPH may need to adjust dates or times depending on space availability.
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DD
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YYYY
Time
:
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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