Residence Life Event Form

Residence Life

This form is to only be used by Residence Life staff to submit event management forms and program proposals. Residence Life professional staff members may be in contact with you before your program is approved!

Which community do you live in?
Event Name*
RA Contact Email*
An @maine.edu email address is required to submit this form.
Supervisor Name*
First Last
Other Co- Sponsoring/ Participating Organizations
Event Information
This field is hidden when viewing the form
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.
Date of Event*
MM slash DD slash YYYY
Start Time*

: Hours

Minutes

AM/PM
End Time*

: Hours

Minutes

AM/PM
Learning Outcome*
- Understanding of Self
- Understanding of Leadership
- Understanding of Community
- Social Program
- Friday Night Program
Brief Event Description*
Plan to manage social distancing requirements:*
Estimated Budget*
Do you needs materials purchased?*
Insert links for purchased supplies here:
Please list supplies needed from your complex
NUMBERS OF ATTENDEES
Estimated number of attendees*
Name of Location*
Location Capacity (must be equal or larger than the total numbers of attendees from all participating organizations)*
VERIFICATION & CONTACT INFORMATION
By submitting this form, the organization president or event planner vouches, to best of their knowledge, all information is accurate. *
- True, all submitted information is accurate
RA Name*
First Last
RA Email*
You cannot submit this form until an @maine.edu email address is provided for the contact (at the top of the form)
Phone
This field is for validation purposes and should be left unchanged.

Residence Life Event Form

Residence Life

Event Information

NUMBERS OF ATTENDEES

VERIFICATION & CONTACT INFORMATION