| Full Name of Person Submitting Request* |
|
|
| Sponsoring Department/Unit* |
|
|
| Contact Person, if different from
above |
|
|
| Event Name * |
|
|
| Proposed
Event Date * |
|
|
| Group Type * |
|
Academic
Unit
Administrative
Unit
|
| Will there be an admission charge, sale
of items, collection of donations or any money generated at this event
(excluding dues, assessments or initiation fees? * |
|
Yes
No
|
| If yes, please explain. |
|
|
| Is this event a fundraiser for charity? * |
|
Yes
No
|
| If yes, which charity? |
|
|
| Will there be a non-student or non-faculty
speaker(s)? * |
|
Yes
No
|
| If yes, provide name of speaker(s) |
|
|
| Will there be any non-University of Illinois
individuals attending or invited to this event? * |
|
Yes
No
|
| If yes, please explain. |
|
|
| Will food and/or beverage be served? * |
|
Yes
No
|
| If yes, please explain. |
|
|
| Will there be a set-up; (Alterations of
existing space, need for equipment or services)? * |
|
Yes
No
|
| If yes, please explain? |
|
|
| Remarks |
|
|
| Important:
After submitting this form you will automatically be directed to the
EMS scheduling system. Log on to the EMS scheduling system and proceed
to "Find Available Space." Both steps must be completed to
submit a Web request. |
