Event Request Form – Student Centers

Who is planning this event?

Name*

First Last

Email*

Phone*

Who will be our on-site contact the day of the event?

Name*

First Last

Email*

Phone*

How are you affiliated with NC State University?

Affiliation:*

What is the name of your Department, Organization, or Company?*

For non-university groups, please enter the Billing Address for your organization

This address will be used in the invoicing process

Please enter the Project ID you would like this event billed to:*

an estimate for the cost of your event will be included in your event confirmation and invoices are processed the week following the event.

University Sponsor

If you selected Non-University Group above, you must provide contact information for your University sponsor below. (per NC State Regulation 11.55.02 Use of University Space)

Which best describes your sponsor's affiliation?*

What is the name of the University Group, Student Group, or Student?*

Please provide contact information for University Sponsor*

First Last

What is your sponsor's phone number?*

What is your sponsor's email address?*

Event Details: Title, Date, and Time

What is the title of your event?*

What is the preferred date for your event? Please only enter multiple dates if it is a multi day event.*

If your preferred date is within 72 business hours, please call the Student Centers Events office (M-F 8a-5p) to determine availability.

Please list alternate date(s) for your event. These will be used if your preferred date is unavailable.

If your alternate date is within 72 business hours, please call the Student Centers Events office (M-F 8a-5p) to determine availability.

Is there anything else about your date preference we should know? (i.e. is it flexible, is it tied to a day of the week or another event, etc.)*

What time will your event actually start?*

What time do you need access to the event location? (e.g. to set up materials, decorate, test presentation, etc.)*

What time will your event end?*

Do you need additional time after your event ends to vacate the space?*

Yes
No
Unsure

If yes, please explain*

If this is a multi day event, please provide a general overview of your agenda

Event Details: Location and Type

Where would you like to have your event?*

Please include the outdoor space/location you are interested in reserving:*

If you selected "other" above, please explain:*

If your preferred location is not available, are you willing to consider other locations? Check all that apply:*

I am only interested in the location I selected
Talley Student Union
Witherspoon Student Center
Other (for Duke Energy Hall please complete the form linked at the top of this page)

If you selected "other" above, please explain:*

What type of event is this? Check all that apply:*

If you selected "other" above, please explain:*

How many people do you expect to attend your event?*

Who do you anticipate will attend this event? Select all that apply:*

NC State Students
NC State Faculty / Staff
Non-University Guests
Minors (anyone under the age of 18 who is not currently enrolled or admitted to NC State)
Other

If you selected "other" above, please explain:*

Please provide a brief description of your event*

Do you anticipate any of the following at your event?

Please select yes, no, or unsure.

Are you inviting an elected official (Local, State, or Federal)?*

Yes
No
Unsure

Please explain:*

Are you inviting a candidate for public office (Local, State, or Federal)?*

Yes
No
Unsure

Please explain:*

Are you inviting someone campaigning on behalf of a candidate for public office?*

Yes
No
Unsure

Please explain:*

Speaker / Presenter with national or international recognition*

Yes
No
Unsure

Please explain:*

Animals*

Yes
No
Unsure

Please explain:*

Tents larger than 10' by 10'*

Yes
No
Unsure

Please explain:*

Are you inviting minors (anyone under the age of 18 who is not enrolled or admitted to NC State University) to attend this event?*

Yes
No
Unsure

Will NC State individuals be providing direct supervision for the care, custody or control of the minors?*

Yes
No
Unsure

Please explain:*

Road race or walk (5k, fun run, etc.)

Yes
No
Unsure

Please explain:*

Is your event a rally, protest, campaign, etc?*

Yes
No
Unsure

Please explain:*

Outdoor amplified sound*

Yes
No
Unsure

Please explain:*

Amplified sound in the Talley Student Union Lobby*

Yes
No
Unsure

Please explain:*

Band or DJ*

Yes
No
Unsure

Please explain*

Is your event a dance or concert?*

Yes
No
Unsure

Please explain:*

Alcohol will be served*

Yes
No
Unsure

Please explain:*

Hot works / Open flame*

Yes
No
Unsure

Please explain:*

Selling items (merchandise, tickets, food, etc.)*

Yes
No
Unsure

Please explain:*

Event Details: Set up

What type of set up would you like?*

Auditorium – chairs facing forward (click here to view)
Conference – not recommended for more than 32 people (click here to view)
U-Shaped Conference – Conference style with no backs to screen/presenter (click here to view)
Classroom – chairs facing forward with tables (click here to view)
Rounds – 60” rounds with 8 chairs at each
Reception – standing room with cocktail tables (click here to view)
Clear Floor – no equipment
Career Fair/Expo – 6 foot tables spread around room (click here to view)
Unsure

Please explain:*

Would you like a stage?*

Yes
No
Unsure

Would you like a podium? (podiums come with a microphone)*

Yes
No
Unsure

Do you want to rent one of our laptops?*

Yes
No
Unsure

Do you need a projector?*

Yes
No
Unsure

Are you interested in recording or streaming this event? (if yes, we will assist you with getting a quote from an on campus service provider, Wolfbytes)*

Yes
No

Do you have any additional audiovisual equipment needs? (If yes, explain)*

Yes
No
Unsure

Please explain*

Will you be working with any Non-University Vendors (rental company, production company, caterer, etc.)?*

Yes
No
Unsure

Please explain*

Will you be providing food or beverage as part of your event?*

No
Rave! Catering (must have 7 business days notice for booking)
Makus Empanadas
Food Truck
Other

Please explain*

Will there be a fee for attendees, vendors, sponsors, etc. to participate in the event?*

Yes
No
Unsure

Please explain*

Is there anything else you would like us to know about your event?

Comments

This field is for validation purposes and should be left unchanged.