Small event form (under 50)

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

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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, student club meetings, etc)

Expected number of attendees*

Please enter a number from 1 to 51.

Intended Location (By selecting a location does not mean it is reserved for your event)*

Wells Conference Center
North Pod (Memorial Union)
Pub (Memorial Union)
Estabrooke Hall
Hauck Auditorium
Minsky Recital Hall
If outdoor location on campus (fill out info below)
If off campus (fill in location below)

Plan an Event

Small event form (under 50)

Required Event Information