Student Event Request - Shared Space Reservations & Services

Student Name *

Student Group *

Phone Number *

Email Address *

Event Date(s) *

Start Time *

Start to End, please include any setup time you will require.

End Time

Start to End, please include any teardown time you will require.

Event Name *

Preferred Building/Room *

(https://meet.wustl.edu/spaces to view options)

Estimated Number of Attendees *

Are the Attendees? *

WUSM Students

Visiting Students/Applicants

Undergraduate Students

OtherOther

(select all that apply)

Should this event be placed on the Canvas Student Activities Calendar? *

Yes

WU Department Number *

003007 (Office of Education)

Unknown at this time

OtherOther

Event Type *

(View definitions and examples on the Event Types Page)

This Event Is

Collecting Registration Fees

Collecting Industry Funds/Sponsorships/Grants

Advertising to Non-WUMC Community

Graduate Medical Education (GME)

(select all that apply)

Catering *

Catering, Full Day and/or Multiple Components

Catering, Drop Off (Boxed Lunches, Breaks, etc)

Brown Bag Lunch (Not available at EPNEC)

Alcohol Requested (must complete alcohol form)

Unknown at this time

No Food/Beverages

OtherOther

(select all that apply)

Audio Visual *

Standard AV (Fixed Equipment)

Non-Standard AV (Special Set)

Technician Requested

Unknown at this time

No AV Equipment/Services will be needed

(select all that apply)

Parking *

Parking Validations Requested

Attendees have garage parking passes

Unknown at this time

OtherOther

(select all that apply)

Meeting Coordination Services (levels of service can be found at https://meet.wustl.edu/MCS) *

Basic (Pre-planning assistance, estimated fee, $50)

Standard (Pre-planning and some on-site, estimated fee, $100)

Comprehensive (Pre-planning and on-site, estimated fee, $200)

Self Service (Some events require meeting coordination services)

Please note, some events will require a certain level of service.

Name of Faculty/Staff Sponsor *

Andy Wiegert

OtherOther

Additional Services *

Poster Boards (see below for additional information)

Doors Unlocked Before/After Hours

Custodial Set/Clean (may be required)

Trash/Recycling Receptacles (no charge)

Unknown at this time

None

OtherOther

(select all that apply)

Poster Boards (if yes, indicate how many posters you will need to display)

Beginning August 1, 2017, all poster board rentals must be requested through Campus Support Services 314-747-6338.

How many tables will you need?

$15 each

How many chairs will you need?

$1.25 each

Comments

Student Reservation Information Form