Special Event Request Form Page 3

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Type of Event: Circle one that applies:
Room Setup: Circle One
Ceremony
Date Auction
Theater Style
Classroom Style
Lecture/Panel
Recruitment
Rounds
Open Floor Space
Competition
Banquet
Combination(Specify):_______________________________
Workshop
Conference
Performance
Probate Show
Points: ______________
Fashion/Talent Show
Yard Show
All seating = 0 points
New Initiate Performance
Some seating, some free movement = 4 points
No seating = 8 points
Setup/AV Needs:
Points: ____________
Equipment Needs: Circle all that apply
Will audio/visual equipment be used? Yes
No
Sound System
Microphone
Podium Accent Lighting
Instruments/equipment totaling less than $5,000 = 2 points
Projector and Screen
TV Monitor
DVD Player
Instruments/equipment totaling greater than $5,000 = 4 points
Purpose of the event: ________________________________________________________________________________
__________________________________________________________________________________________________
Briefly describe vision of event: ________________________________________________________________________
__________________________________________________________________________________________________
1. Does your event have a master of ceremonies? Yes No
2. Does your event have a presenter, speaker or panel discussion?
Yes No
3. Will your speaker or presenters require a contract to participate?
Yes No
4. Will this event have a DJ present? Yes
No **DJ’s for events must supply their own sound systems and all related
equipment
5. Will food and beverages be served at this event? Yes
No
** Eastern Michigan University does not allow outside food or beverage at events on campus. Please contact the Event
Planning office if you wish to have food at your event. Charges and fees will apply for orders and services provided. If this
event is being considered for Student Government allocations, estimate from the venue manager is required. Please provide
venue manager or event planning staff a minimum of 72 hours notice to prepare estimate. **
6. Will this event be publicized?
Yes No If Yes, describe how __________________________________________
7. Is this event a ticketed event? Yes
No
If “Yes”, please add 8 points to overall total
Points: _____________
If “Yes”, all ticket sales must be coordinated through the EMU Ticket office. Please contact 734.487.2282 for
more information.
8. Does this program or event serve as a fundraiser for the host organization or an external charitable organization? Yes No
If yes, see questions below:
a. What charity will receive the funds? ____________________________________________
b. Where will monies be directed? (Circle)
Organization Xfund
EMU Foundation Account
Outside Bank Account
9. Are you collaborating with another student organization on this event?
Yes
No
Name of Student Organization ______________________________________________________________

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