Fine Arts Programming Space Request

Organization Name

Organization Contact Person

Name of person with most information about the request

Contact Person Email

Contact Person Phone Number

Event Date

Second Choice Date (enter 1st date twice if no other dates will work )

Event Type

Live Streaming is not available in all locations and is subject to approval based upon labor and equipment availability.

Live Streaming Support?

Live Streaming is not available in all locations, is subject to approval and has additional costs

	No Live Stream
	This Event is ONLY a Live Stream (no audience)
	I want to Live Stream in addition to a live audience

Event Title

Event Description

Space Requested

Space Other

Name of desired space if you selected other

Arrival Time for Setup, Rehearsal, Etc

Event Start Time

Event Duration

Type of Audience (Please describe everyone who will be attending your event & how you will be advertising it)

Size of Audience expected

Do you plan to have tickets for your event? (Per ticket fees apply)

	No
	Yes

Notes? Please put any other pertinent information here regarding the event (Alternate space choices, alternate date choices, set-up time needed, reception after, special equipment needed. etc)

How can we help if the space is unavailable?

	Provide alternate space options?
	Provide alternate date options? (You must provide a secondary date different from the first choice above)
	Refer you to other departments on Campus?
	Nothing. I will find an alternative space

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Forms Manager

Fine Arts Programming Space Request