Summer Conference Request Form
Conference or Group Name: *
Your answer
Conference Description: *
Your answer
Sponsoring FIU Department: *
Your answer
FIU Department Contact: *
Your answer
Conference Coordinator Contact : *
Your answer
E-mail for Conference Coordinator: *
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Phone Number for Conference Coordinator: *
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Conference Start Date: *
MM
/
DD
/
YYYY
Conference End Date: *
MM
/
DD
/
YYYY
Number of Participants: *
Your answer
Age of Participants: *
Check all that apply
Required
Number of Males: *
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Number of Females: *
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Number of Staff: *
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Will you need linens? *
Will you need meals? *
Will you need parking? *
Will you need meeting rooms or other facilities? *
Please note any other needs your conference might have: *
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Any other additional comments regarding your conference: *
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