General Information
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Today's Date:
05-26-11 |
Hosting Organization:
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Your Name:
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Your Email:
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Your Phone#:
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Primary Event Contact:
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Primary Contact's Email:
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Primary Contact's Phone#:
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University Faculty/Staff Advisor:
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Advisor's Email:
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Advisor's Phone#:
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Title of Event:
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Start Date:
The first occurrence of your event.
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End Date:
The date your event ends or the last occurrence of your event.
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Notes About Event Dates:
Will you event occur weekly, span continuously over two or more days, etc?
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Event Time(s):
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Set-Up Time(s):
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Clean-Up Time(s):
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Location:
If you haven't contacted University Scheduling to request a room, click here to do so.
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Event Data
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Anticipated number of attendees:
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Audience Configuration: (Please check all that apply) |
| Members of the sponsoring organization |
SEMO faculty and/or staff |
| SEMO Students |
High School Students |
| Non-SEMO university students |
Local Community Members |
| Org members or Alumni from another school |
SEMO Alumni |
| Individuals on a guest list |
Please select the type of event that best fits the program you want to host: |
| Comedian |
Pageant |
Informal Dinner |
| Band/Musical Performance |
Meeting or Retreat |
Formal Dinner |
| Variety Show |
Dance/Party |
Special Event |
Novelty Event
(Wax Hands, Cartoonist, etc.) |
Initiation/Induction Ceremony |
Conference |
| Other: |
Is your organization receiving University funding or co-sponsorship from any of the following? (Please check all that apply) |
| None |
DICE |
RHA |
| SAC |
University Department
(Student Development, CHC, Residence Life, etc.) |
Student Government Funding Board |
| Other: |
Check here if refreshments will be available at the event: |
| If Yes, what is the source of the refreshments? |
| Chartwells |
| Other restaurant or caterer |
| Organization Purchased |
| Organization Provided (Home made) |
Check here if you will be contracting services (DJ, Band, etc) for this event:
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| If Yes, please complete the following information: |
| Company Name: |
| Contact Person: |
Phone #: |
| Cost of Services: $ |
Arrival Time: |
Company Name: |
| Contact Person: |
Phone #: |
| Cost of Services: $ |
Arrival Time: |
Check here if you are requesting additional contracts
You will be required to submit contact information for all requested contracts
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Check here if your organization is hosting another function within the 24 hours
preceding or following this event. |
| If Yes, please enter the dates, times, and locations: | |
Check here if you will be charging admission. |
| If Yes, what is the cost? $ |
| Points of Sale? (Mark all that apply.) |
| At the door |
Pre-event ticket sales |
| Other: |
| What will the funds be used for? |
| Offset unfunded event costs |
| Future campus events |
| Organization Operating Costs (dues, conferences, etc.) |
| Philanthropy (donations, scholarships, etc.) |
Questions: |
| Please provide a brief description of the event and what will take place: |
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| Do you have any concerns related to security or behavior for this event? |
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| Do you have prior knowledge that certain individuals or groups may cause problems at this function? |
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