1

Name of Event

 *

Name of Event

2

Event Type

 *

Event Type

Academic	Athletics	Camp/Clinic
Campus Event	Celebration/Ceremony	Conference
Exhibit/Display	Fair	Film
Interview/Teaching Demo	Lecture/Presentation/Seminar	Maintenance
Meeting	Office Hours	Performance
Testing	Training/Workshop	Vendors

3

Organization Sponsoring Event: (please name as many as involved)

 *

Organization Sponsoring Event: (please name as many as involved)

4

Are any of the involved organizations outside of GCC?

 *

Are any of the involved organizations outside of GCC?

Yes

No

5

Are any of the organizations Student Clubs?

 *

Are any of the organizations Student Clubs?

Yes

No

6

Expected Attendance

 *

Expected Attendance

7

Event Description

 *

Event Description

8

Date and Time of Event -include repeated occurences if applicable

 *

Date and Time of Event -include repeated occurences if applicable

9

Type of Space Desired

 *

Type of Space Desired

General Classroom	Collaborative Classroom	Computer Classroom
Lecture Hall	Conference Room	Other (please describe) If other, type text here.

10

Room or Building Preference

Room or Building Preference

11

Please indicate all that apply to the requested event

Please indicate all that apply to the requested event

Parking Services required	Food served
IT Support needed	Set-Up required
Alcohol served	Minors present
Open to the public	Campus Police presence required
Politician or Pubilic Figure attending	Amplified Music/Announcements used

12

Are any participation or other fees being charged for attending this event?

 *

Are any participation or other fees being charged for attending this event?

Yes

No

13

Your Name

 *

Your Name

14

Email

 *

Email

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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