GHPSA Resources

Event Planning Form

Please complete and submit this form 14 days prior to a small event; and 30 days prior to a large event.

Only complete the sections necessary for your event, but please include all information needed for your event.

Online form will be submitted to the Office of Graduate & Health Professions Student Affairs (Coal Building 502).

Title:

Date of Event:

Event Planner:

Start Time:

Desired Location:

End Time:

Estimated Number of Participants:

Advisor:

Please briefly describe event (include purpose and outcome expected)

Who will be invited to this event?

If Tables/Chairs – How Many

If other, Please describe.

Funding and Approximate Budget:

Will funding be provided by a club budget?YesNo

Are you requesting funds from Student Affairs?YesNo

Estimated Budget (Please attach descriptions and any quotes from vendors or suppliers)

Cost of Venue

Food/Catering

Decorations

Music/Entertainment

Gifts

Transportation

Raffle items

Other

TOTAL:

Do you want an external organization or industry to support this event?YesNo

If “yes,” please explain what type of support you are expecting:

Do you plan on inviting any leaders of national or industry related organizations?YesNo

If “yes”, who?

Do you plan on inviting any local, state, or national dignitaries or political leaders?YesNo

If “yes”, who?

Do you plan on having a guest speaker?YesNo

If “yes,” please provide the following information:

If special lighting checked, please describe here.

Signatures:

Organization Representative Name:

Organization Faculty/Staff Advisor Name:

GHPSA Resources

University of Pikeville

Resources and Publications

Publications:

Event Planning

Event Planning Form

Services Needed (Check all that apply):

Funding and Approximate Budget:

Please identify any IT needs for the event:

Resources: