Before you begin this form, please note the following:

• This form is only for events on campus (Wolfe St. building or Hampton House).
  
• Complete the form carefully and thoroughly to avoid delays in your
  event approval.
  
• Start the process early-at least three weeks ahead of your event.
  
• Approval of events is based upon the information provided on this form. If you make significant changes to the event (e.g. change of topic or date/time), you must get approval for the changes.
  
• If REQUESTING an EPOSTER, please follow the instructions on this JHSPH Portal page - (https://my.jhsph.edu/C16/ePosters/default.aspx)
  
• Once your form is complete, click the "Submit" button at the bottom of the form.  Your request will be submitted to tchance@jhsph.edu. Support Services and a room scheduler will be notified once the event is reviewed.  Students will be contacted by the Special Events Team (SET) to attend a SET Meeting. Thank you.
  

STUDENT EVENT APPROVAL FORM

CONTACT INFORMATION
Today's Date « mm/dd/yyyy
Name of Contact Person «
Phone Number «
E-mail «
Name(s) of Sponsoring Group(s) «
EVENT INFORMATION
Name of Event «
Day of Event «	-- Select from the following -- Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Date of Event « mm/dd/yyyy
Start Time « 0:00 am/pm
End Time « 0:00 am/pm
Location Requested « Room Name or Number
Expected Attendance «
Purpose «
Will there be a Speaker? «	[ Yes ] [ No ]
Speaker Name & Affiliation
Confirmed	[ Yes ] [ No ]
Speaker Name & Affiliation
Confirmed	[ Yes ] [ No ]
Speaker Name & Affiliation
Confirmed	[ Yes ] [ No ]
GENERAL INFORMATION
Will there be attendees with special needs? «	[ Yes ] [ No ]
If yes, explain
Will there be a WOW Presentation? « If "YES" presentation needs content approval by Dean Ward	[ Yes ] [ No ]
Will there be an E-Poster? « If "YES" Poster needs content approval by Dean Ward	[ Yes ] [ No ]
If Ordering E-Poster, Date Needed When do you need to receive the eposter?
E-Poster Upload e-poster for content approval
HOUSEKEEPING INFORMATION
Does the room need set-up? «	[ Yes ] [ No ]
Will there be food or drinks? «	[ Yes ] [ No ]
SECURITY INFORMATION
Will there be alcohol? «	[ Yes ] [ No ]
Will non-ID holders attend? «	[ Yes ] [ No ]
AV SERVICES INFORMATION
Audio-Visual equipment needed	LCD Projector Laptop Overhead Projector Podium Microphone Audio or Video recorder Other- Explain below
Other Audio-Visual «
Fields marked with "«" are required.