CHHS Events & Reservations Request Form
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1.
Name:
*
2.
Email Address (you will receive a copy of your submission to the email address you list here):
*
3.
Phone Number:
*
4.
Reservation/Event Title:
*
5.
Reservation START Date (MM/DD/YY) and START Time (AM/PM):
*
6.
(Optional): Reservation SET UP TIME
[if this is a multiple day event with different time frames, please list the first date and set up time and last date and clean up time. Please provide more details in Question 11's text box.]
7.
Reservation END Date (DD/MM/YY) and END Time (AM/PM):
*
8.
(Optional): Reservation CLEAN UP TIME
9.
Reservation/Event Type
*
--Please Select--
Ceremony
Class
Conference
Lecture/Speaker
Meeting
Reception
Tour
Workshop
Other
10.
Estimated Number of Attendees:
*
11.
(Optional): Will this be a recurring reservation?
If yes, please provide the start and end dates of your repeating meeting, day of the week, and frequency.
12.
(Optional): Preferred Room(s)? (Note: Rooms/locations are available based on availability. Please list them in rank order with the first room listed as being the most preferred)
13.
IT/AV Needs:
*
Computer/projector
Record Event
Live Stream
Video Conference (ZOOM)
Microphone
Stage (based on Warehouse Services availability)
Lectern
Laptop Cart (approx. 30 laptops in a cart) PLEASE SPECIFY QUANTITY OF CARTS NEEDED IN THE BELOW OTHER BOX
Registration table/skirted with two chairs
Table with two chairs on stage/front of room
N/A
Other, please specify
14.
Will any of your attendees need visitor parking? If yes, please include the approximate number below. (parking will potentially require an additional fee)
*
Yes
No
Please specify the approximate number of people needing parking:
15.
Do any of the following apply to your reservation?
Will the University, College or School brand be used in the development of published marketing materials for the event?
Will this event utilize the services of an Independent Contractor or other outside vendor (i.e. paid guest speaker, DJ, etc.)?
Will this event be held at a venue OFF the UNCW campus?
Will catering or visitor parking be needed for your request?
*
--Please Select--
Yes
No