MECA&D Event & Meeting Request Form

Name*

First Last

Email*

Name of Event, Meeting or Non-MECA Opportunity

This title will be used in publications & on calendars

Meeting or Event*

Is this a meeting, event (visiting artist lecture, film, lecture, student group happening), or non-MECA opportunity you'd like us to promote?

Room Choice

(off campus is an option at the bottom of this list)

Other:*

Start Date:

Start Time:

:

End Date:

End Time:

:

Description

This description will be used for publication and calendars. Include web link if appropriate.

Audience

Who is the intended audience? You may choose more than one.

Other:*

Anticipated Attendance

This is to ensure capacity of requested space is adequate

Support

This is a notification only. If the event is approved YOU will be required to coordinate support with the proper departments well in advance.

Other:*