Campus Group Event Planning Form

Required Event Information

Event Coordinator Name*

First Last

Event Coordinator Email*

Enter Email Confirm Email

Event Coordinator Work Phone*

Event Coordinator Cell Phone*

Event co-sponsors

If there are co-sponsors for this event, please enter their information below. Use the + icon on the right to add additional co-sponsors.

Name	Organization/Department	Email	Phone

Name of Event*

Is this event for Week of Welcome (WOW)*

Yes
No

Event Description*

Plan to manage social distancing requirements:*

Responsible UMaine Department*

Responsible department account number*

Hidden

Summer 2021 event?

Please check here if this is a summer event or program

Events held between May 10 - August 1 are considered Summer 2021 events.

Checklist for Summer 2021 events

I have reviewed and understand the UMaine/UMM Summer Program Event Checklist*

I understand that The University consistently seeks to take steps to minimize the risk of COVID-19 infections (or any other spread of disease) in accordance with applicable law, regulation, and guidance provided by health authorities. These efforts may include policies and safeguards implemented by the University such as symptom checks, social distancing, use of facial coverings, and isolating and quarantining when required. Despite these efforts, the University cannot categorically guarantee that any person entering University campuses or facilities will not contract COVID-19 or any other communicable disease and any such person must assess and accept the risks of illness or injury for themselves.

I attest that the applicable safety practices suggested in the Summer Event Planning Checklist will be implemented prior to my event occurring.

Signature*

Type your name above. This will serve as a digital signature.

Start date of Event*

Start time of Event*

:

End date of Event*

End time of Event*

:

Is this going to be a recurring event?*

Yes
No

Please describe how this event reoccurs; provide additional date/times as appropriate.*

Audience for event*

(example: K-12, visiting speaker, academic meeting, etc.)

Estimated Number of Total Attendees*

Estimated Largest Number at any one time*

Is this event in-person or virtual?*

In-person
Virtual
Both

Please indicate whether you have a live stream set up for this event, including the link to the live stream information if available.

Live captioning is required for all live streamed events, you will be sent information to schedule the captioning service and its associated cost structure.

Is this event already scheduled for the following locations?*

Athletics
Collins Center for the Arts
Wells Conference Center
Hudson Museum
Emera Astronomy Center
Buchanan Alumni House
New Balance Student Recreation Center
None of these / not scheduled

Have you put a hold on one of these locations for your event? 

Yes
No

Will more than one bus be required?*

Yes
No

How many busses will be required?*

Will you need parking lot closures?*

Yes
No

Building/Area*

Do you need Facilities Management event services?*

Yes
No

(barricades, signage, tables/chairs, etc)

Required safety announcement?*

Yes
No
Not applicable

If the venue holds more than 350, select if a safety announcement is needed at the start of the event.

State/town permits/permissions required?*

Yes
No
Not applicable

(food, fire, dance, gambling, liquor, pyrotechnics, drones, live animals, etc.)

Please identify which permits or permissions are requested:*

Alcohol
Dancing
Drones
Fire or pyrotechnics
Food
Food trucks
Gambling (including bingo)
Live animals
Other

Other permit or permission requested:*

Are there external contracts related to this event?*

Yes
No

Please describe the external contracts related to this event:*

Is the external contract with an approved vendor?*

Yes
No
Not sure

Do you have event insurance?*

Yes
No

Does this event need an American Sign Language (ASL) interpreter?*

Yes
No

How many volunteers are participating?*

Enter 0 (zero) if there are no volunteers participating in this event.

Do these volunteers need event training?*

Yes
No

Is this an outdoor event?*

Yes
No

Outdoor Event*

Please select all that apply.

Does your event require parking or transportation services?*

Yes
No

Will this event require parking lot closure(s)?*

Yes
No