Academic Affairs Request Form

1
What is your name?* This field is required.
First Name
Last Name
2
Got it. Now your email address?* This field is required.
example@example.com
3
What is the name of your organization/department?* This field is required.
4
What is your title?* This field is required.
5
What is the best phone number to reach you during business hours?* This field is required.
Area Code
Phone Number
6
Please describe the event that you would like to host on campus.* This field is required.
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Ok
Ok
7
What's your estimated attendance for the event?* This field is required.
8
What is the date of the event?* This field is required.
Date
Year
Month
Day
9
What space (room, etc) on campus are you requesting?* This field is required.
10
What is the actual start time for the event?* This field is required.You can request additional time for setup and tear down in the setup notes later.
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Hour
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Minutes
AM
AM
PM
11
What is the actual end time for the event?* This field is required.Again, you can request additional setup and tear down time in setup notes in just a bit.
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Hour
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Minutes
AM
AM
PM
12
Is this event a fundraiser?* This field is required.
YESNO
13
Are VIP Guests involved in this event?* This field is required.
YESNO
14
Do you need audiovisual assistance with your event?* This field is required.
YESNO
15
Do you need catering?* This field is required.
YESNO
16
What type of meal will be served?Please note: Any food or beverage service must be provided by the UMHB vendor, Sodexo. The Sodexo catering manager can be reached at catering@umhb.edu for pricing and menu options.
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Ok
Ok
17
Do you have specific setup requirements or any additional needs?This is also where you can specify additional setup or tear down time needed for your event.
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Ok
Ok
Should be Empty: