Event Request Form
Name of event coordinator *
Email of event coordinator *
Name of Event *
Participant Group
Event Needs
At which campus will the event be held? *
If off-site, what is the location?
Date of Event *
MM
/
DD
/
YYYY
Frequency of event
Clear selection
What day of the week is this? (Multi-day events, check all days that apply)
Set-up time before event *
Time
:
Start Time of Event *
Time
:
End Time of Event *
Time
:
Promotion Type Requested *
Required
Image/Theme (please go to www.stock.adobe.com and pick 1-3 photos and put the image numbers below).
Website related to your event (Is there a website where information or graphics can be found).
Registration set-up needed? *
Registration Start Date
MM
/
DD
/
YYYY
Registration Deadline
MM
/
DD
/
YYYY
Deadline for payment
MM
/
DD
/
YYYY
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