Lunch and Learn, Social Event Form for Guests
Hi! Thank you for agreeing to host a lunch and learn for our Louisiana ASDA chapter. We are excited to learn about your products, experience, and story. Note that as a nonprofit organization, our local chapter operates solely through fundraising efforts to support our initiatives and events. Therefore, historically, we do not provide compensation to our guest speakers. We ask that our guests pay a $500 sponsorship fee and provide lunch during their sponsored events. Please complete this form to begin the event planning process.

We ask all vendors to complete the sponsorship form below prior to scheduling their Lunch and Learn or social events. This form includes a description and objective for your event. Once your application is submitted, the administration will have to approve it. Please note that a submitted application does not guarantee a Lunch and Learn or social event. Keep in mind that the focus of events is to educate and inform students, not for companies to solicit their products or services.

The $500 sponsorship fee can be sent via PayPal, Zelle, or check. after your application is approved.

Once your application has been approved, ASDA will confirm your date and begin advertising to dental students via email and social media.

If there are any questions or concerns, please contact the ASDA President, Harli, at hjaco4@lsuhsc.edu or Vice President, Emily, at eebert@lsuhsc.edu.

What students will be attending the Lunch and Learns?

We invite all of the dental classes 1st (76 students), 2nd (74 students), 3rd (80 students), and 4th (80 students). The rooms hold from 100-300 students, so attendance is first come first serve. However, if you would prefer a certain class year to attend, we may accommodate for your request. Please be aware that 3rd and 4th years must leave by 12:45 to set up for clinic.

Sign in to Google to save your progress. Learn more
Email *
Your Name (First and Last) *
Name of Company or Group *
Preferred Name of Company or Group (What you would like to be known as)
Presenter Name
Email *
Phone number *
Name of Louisiana ASDA Primary Contact for this Visit *
Purpose? What do you hope to achieve at your proposed lunch and learn or social event? *
Description? What will you be doing at your proposed lunch and learn or social event?
Do you plan to distribute or leave any samples or products? *
Are you providing lunch or a tab? If so, would you like suggestions on catering or restaurants? Please be sure to provide vegetarian options. *
Which classes are invited to attend? (D1s have 75, D2s have 75, D3s have 80, and D4s have 79 students.) *
Which date would you like to visit our campus for the event? Or which date for your social? Please provide 3+ options if possible. Lunch is each day from 12:00-12:45 PM.  *
Do you have any questions or concerns about this event? Thank you! *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report