<p> Ivy Tech Southwest Event Request Form For successful event planning and execution, we request that this form be submitted to Marketing and Communications a minimum of two weeks prior to the requested event. </p><p>Request Submitted By: Date Submitted: Name of Event: Company/Organization/Club/School or Department: </p><p>Requested Date of Event: Contact E-mail: Time of Event: Contact Phone: Contact Person: Contact Address: Audience for Event: (check all that apply) Ivy Tech Students Free & Open to Public Ivy Tech Employees Invite Only Other Approximate Number of Attendees: Type of Event: (check all that apply) Lecture Meeting Trade Show/Fair Other: Food Event Fundraiser Student Club Note: Student Club event requests must be submitted by the club Advisor. Specific Event Set-Up Needed (Y or N): Is a Rehearsal/Run-Through Needed?: Room(s) Requested Vectren Auditorium New Quads Classroom (please indicate room number or (Room 147) 101, 102, 115, 117 size of room needed, i.e. seating) ______Bower-Suhrheinrich Visual Arts Center Old Quads Koch Student Center (room 152) (Room 107) (Thursday-Saturday are Gallery 169, 171, 173, 175 First Floor Commons Days- no events) </p><p>Bussing Koch Gallery Second Floor Under the spiral staircase (quiet) Commons</p><p>Technology Needs: (please check all that apply) (* indicates only available in certain rooms)</p><p>TV/Cable* DVD * Overhead Projector* Mic(s)* Projection Screen*</p><p>Temporary Conference Call * Webinar Set-Up* On-Site Technical Other Network Assistance Needed Log-In (special permission required)</p><p>Facility/Set-Up Needs: (please indicate quantity needed and check all that apply)</p><p>Number of Tables Number of Chairs Large Trash Cans Arrows/Directional Signs</p><p>Table SIZE (6ft or 8ft) Projector Table Ivy Tech Podium Special Parking Needs/Passes</p><p>Table TYPE Banner/Signs Hung Existing Furniture Moved Other (long/round/tall) (explain in notes section) (explain in notes section) Notes:</p><p>Room Set-up Requested Theatre Style U-shaped Classroom Setting Other Additional Needs # Table Cloths (Round) Color: Green Black Catering Needed: YES NO (If yes, Marketing will provide catering instructions and vendor information separately) # Table Cloths (Rectangle) Color: Green White Kitchenette Access - Rm 100</p><p>Marketing Request (all items require approval by Marketing before implementation) Who is your intended audience?</p><p>What is the message you would like communicated?</p><p>THE FOLLOWING TO BE FILLED OUT BY MARKETING STAFF ONLY: Follow Up Notifications: Please check all that have been notified and items completed Facilities CTS (IT) Marketing Projects Chancellor’s Office Notified Notified & Confirmed Notified & Confirmed Completed (Promo Pack) (if necessary) Date: Date: Date: Extra Cleaning Foundation Notified Rooms Insurance/Documentation Submitted (if needed) (if fundraiser) Reserved/Calendars Updated (if necessary) FOAP Provided CAFÉ notified Security/Receptionist Work Order Submitted (if needed) (if food served) Notified Date:</p><p>Request Approved By: Date Approved: </p>