Event Request Form

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Event Request Form

Prior to filling this form out, please review club guidelines and policies in the NYMC Student Club Manual.

Use this form to request a room or space on the campus of NYMC.
If you would like to check availability for a specific room or date please follow this link.
To login please use the following:

Username: nymcstudent
Password: viewspace

To request an event please continue to fill out this form and submit this form. If this event requires funding from the student senate (School of Medicine only), you will be directed to the appropriate funding request form.

Please be sure to click the Submit button when finished.

Your Name *

Your NYMC Email *

Student Club/Department *

This event is open to: *

All New York Medical College Students (SHSP, GSBMS,SOM)

School of Medicine

Club members only

Event Title *

Event Description *

Location *

Event Start Date *

YYYY

Event Start Time (AM/PM)
*

Time

Event End Date *

YYYY

Event End Time (AM/PM) *

Time

Will Food Be Provided? (Not all events will require food.) *

Yes

Housekeeping Requests (tables, chairs, housekeeping, cleanup) etc.

AV Services Required

Additional Comments (If your event has multiple dates or is a reoccurring event, please contact tony_sozzo@nymc.edu)

Are you seeking reimbursement for this event? If so, please indicate which school your club is part of. *

SOM

SHSP

GSBMS

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