Event Application Form

Name of Organization * Required
Name of Applicant
First Last
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Daytime Phone
Email * Required
Facebook Link
Twitter Link
Event Information
Type of Event * Required
Describe in detail the event and activities: * Required
Event Date * Required
MM slash DD slash YYYY
Event Start Time * Required

: Hours

Minutes

AM/PM AM/PM
Event End Time * Required

: Hours

Minutes

AM/PM AM/PM
What time would you like to enter the space on the day of the event?

: Hours

Minutes

AM/PM AM/PM
Will Setup/ Take-down occur on the day of the event?
Guest(s)/ Participant(s) entrance time(s) each day:
Estimated Attendance?
Will registration ticket(s) or admission fee(s) be required to attend this event?
Staging Information:
Please indicate the quantity of equipment needed
Stage size(s):
Table(s):
Chair(s):
Podium(s):
Easel(s):
Will entertainment be provided for this event?
A/V Information:
Please indicate the quantity of equipment needed
Video/ Projection Screen(s):
Sound Monitor(s):
Speaker(s):
Power point w/sound capabilities:
Video Monitor(s):
Projector(s):
CD/DVD Player(s):
Internet Access:
Microphone(s) - Lavalier(s):
Handheld Wireless:
Handheld Corded:
Are you interested to know more about our Audio & Lightining packages for your event
Information will be provided by the Event Manager upon receipt of the Event Application
Catering:
Will event be professionaly catered?
Licensed Caterer Name:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Will alcohol be served at the event?
Outside caterering company will be charged a 10% gross sales fee prior to the event. Would like to know more information about catering options at UIC Forum?
Facility Information:
Do you have any security concerns?
Note: UIC Forum will make final determination on security personnnel.
If yes‚ please describe:
Will there be vendors selling merchansise?:
(Contact Event Manager for more informaion)
How do you plan to publicize the event?

Note: You cannnot advertize your event prior to approval.
Will there be live media coverage during the event? If yes‚ please describe:
Would you link UIC Forum to promote your event on website calendar, Twitter, or Facebook ?:

Please read all of the information herein before making any commitments for event services or equipment.
Official Challenge Policy
Submitting this application is not confirmation to conduct your planned event. Confirmation‚ if granted‚ will be in the form of a UIC Forum Contract issued to the organization or person responsible for conducting the event. In addition‚ a hold is only tentative and is not confirmed until a signed University contract and certificate deposit is received and approved.
PLEASE DO NOT SEND OUT NOTICES‚ PUBLICITY‚ INVITATIONS‚ ETC. Prior to receiving and executing a space agreement/contract.
I understand that‚ if event-related information herein changes (i.e. performers‚ date‚ etc.) this application shall be invalid and a new application may be required. Any changes are to be made in writing. By initialing below‚ I acknowledge that I have read all the information contained in this application‚ understand it‚ and will abide by it. I also understand the date the Forum may be holding for me is tentative and that an application for an event does not constitute a University agreement.
Date * Required
MM slash DD slash YYYY
Initials * Required

Below math question is a check to prevent against spam emails
Question: 1+ 5 = * Required
Name
This field is for validation purposes and should be left unchanged.

Isadore and Sadie Dorin Forum

Event Application Form

Event Application Form

Event Information

Staging Information:

A/V Information:

Catering:

Facility Information:

Official Challenge Policy

Isadore & Sadie Dorin Forum