Meetings, Events & Conferences

Internal Event Request

Submit Event

This form to be completed by faculty/staff members only. Students should contact the SORC Office at sorc@lewisu.edu for event submission procedures.

Important Notes:

  1. If this event involves a program includes participation by the President, the date must also be coordinated with his availability by calling ext. 5230

  2. This form must be received and approved for scheduling in the Conferences & Events office a minimum of two (2) weeks prior to the event.

  3. No planning, arrangements, mailings or logistics should be arranged until the event has Conferences & Events approval.
Today's Date: 10/1/2014

*Name of Event:


*Date of Event:


Special Request:


*Day of the Week:

 Mon
 Tue
 Wed
 Thu
 Fri
 Sat
 Sun

*Time of Event:
to

Special Request:


Time Room is needed (To allow for set up):

From: To

*Number of People Attending:


*What Percentage/Number re from Off-Campus:


*Sponsoring Department:


*Contact Person:


*Contact Phone:


*Contact Email:


*Room Being Reserved (capacity): 

 Faculty/Staff Dining Room (45 Buffet)
 University Dining Room (130 Buffet)
 University Conference Room (12)
 DL 250 (70)
 AS 158A (182)

Other Room:


Parking Lot(s) Assigned:


Please note that if you are using a “special use” facility a restrictions list is as follows:  Phillip Lynch Theater, Student Recreation and Fitness Center, JFK, Sancta Alberta Chapel, Ives Hall.  Use of a “special use facility” is contingent upon the facility guidelines being followed.



Resources Needed

*Bill to Account # (00-00XX-00):


Food (List Type of Meal, i.e., buffet, served, reception, beverage service:


Security Assistance:  Yes      No
if yes please describe:


Facilities Assistance:  Yes      No
if yes please describe:


Do you require assistance from Conferences & Events:
 Yes
 No

Directional Lawn Signs:
 Yes
 No

Marquee Message:
 Yes
 No

For assistance with invitations/flyers, programs, photographer requests, maps, press releases and/or University News please contact Marketing & Communications at ext. 5291.



Audio/Visual Equipment

 Podium/Mic
 External Speakers
 Laptop
 LCD Projector
 Screen
 Presentation Remote Control
 Wireless Microphone
 Flip Chart
 Internet access (wireless)
 Internet access (hardwired)

Other comments:




Room Set-Up (Seating Style)

 Auditorium 

 Conference 

 Rounds 

 Registration Table
 Additional Display Tables

Other:



This Event Supports

 Educational Program
 Student Activity
 Faculty/Staff
 President's Office
 PR/Admissions
 Conferences
 Development/Alumni

Other:


Scheduling Request Made By:


*Please type the word: