Event Name*(Name to be Listed on Public Calendars)Requestor's Name*Wilberforce Email Address* Requestor's Phone #*Department /Organization*Additional Dept. / Org. Co-Sponsor(s):*Event Coordinator's Name* First Last (or Second Contact's Name)Event Coordinator's Email Address* Event Coordinator's Phone Number*Representative from organization who will be present at event and is responsible for safety, cleaning, and adherence to institutional policy.*Does this event involve an organization outside of Wilberforce?*NoYESName of External Organization:*Describe role of guest organization in event:*We would like this event to be added to the Wilberforce Events calendars.NoYESDate(s) of Event* Set-Up & Clean-Up for Event 1 hour 2 hours 3 hours Other Actual Time of Event* : HH MM AM PM Event End Time* : HH MM AM PM Event Admission Cost:*Free for StudentsFree for All$2$5$10$20$50OtherAnticipated Attendance*Who is the staff or faculty advisor for the group?*Has this event been approved by the advisor?* Yes No Details instructions on room set up?*Are there any essentials needed ( chairs,podium, screens, etc) please provide details*Confirmation of Space or Room Requested*Alumni MultiplexLobby of Alumni MultiplexStudent UnionSGA Conference RoomAerobics RoomLower Lecture HallUpper Lecture HallResidence Hall: LLCResidence Hall: HendersonOther (See description below)Please confirm the facilities(room/event location) you will be using for the event. *To reserve the Aerobics Room, Upper, or Lower Lecture Halls are being requested please contact Mrs. Carla Cope (ccope@wilberforce.edu) in the Office of Institutional Advancement* *To reserve Residence Halls please contact Ms. Deva Baker (dbaker@wilberforce.edu) in the Office of Residence Life. *To reserve the Alumni Multiplex please contact A.D. Dorianne Johnson (djohnson@wilberforce.edu) in Athletics. *To reserve the the Student Union or the SGA Conference Room in the Student Union please contact Mr. Santana Loudermilk (sloudermilk@wilberforce.edu) in Student Activities and Intramural Programs. Event Type Lecture Student Organization Informational Party/Show/Social Meal/Gathering NPHC Organization Other (Check all that apply) Nature of Event (Include Topic to be addressed.)*(Describe event completely and attach agenda, if applicable. Failure to do so may delay approval.) Attach agenda here, if applicable Drop files here or Names & Affiliation of Speakers, if applicable.Will Public/External Guests be attending?*NoYesSummarize groups or individuals who have been invited:*Will refreshments be served?*NoYesWho will provide them?*What other services will be needed?Our primary mission is an academic one. Therefore, events are subject to change if there are conflicts with academic events. Certain rooms have restricted usage. If a conflict arises, we will contact you. Student events and special events spaces may be reserved by Division of Student Engagement and/or student organizations for activities. Individual students may reserve space provided they are co-sponsored by an institutional department or student organization. All sponsored programs must comply with the University’s mission and policies. Clean-up is the responsibility of the sponsoring organization. A charge will be assessed if this obligation is not met. You indicate that you have read the above policies and agree to comply with University’s Policies. All requests should be considered TENTATIVE until confirmation is RECEIVED via e-mail. You indicate that you will make all necessary arrangements with Facilities, Student Engagement, Residence Life, Campus Police, WU Media (Sound, Photography, Videography, and Drone Cinematography) and Public Safety for the set-up of your event. These departments need your requests AT LEAST ONE WEEK BEFORE YOUR EVENT. CAPTCHAUntitledUntitledUntitled
