WKU-Glasgow Event Request Form CONTACT INFORMATION: Print Name of Contact Person ____________________________________________ Email & Cell Number _____________________________ ____________________ Mailing Address _______________________________________________________ Official name of Group and/or Event Event of Type ☐ Academic ☐ Campus ☐ Community ☐ Interactive Video Connection Event Description Estimated Attendance Requested Event Date and Time (M-F only) Alternative Date and Time (M-F only) Setup/Teardown Time Needed Room Arrangement ☐ Classroom ☐ Banquet ☐Computer Lab Other (Please be specific): Resources Needed (check all that apply) Communication Request Note: There may be an additional cost involved ☐Tables ☐ Chairs ☐ Computer ☐ Projector ☐ Podium ☐ Social Media ☐ Flyers ☐ Campus Boards ☐ Press Release Number: Number: Number: Number: Date Received ____________ Use Agreement ☐ Reviewed by __________________ Approval by _______________________ WKU-G Staff Coordinator Assigned ____________________ Confirmation Sent to: ____________________ Room(s) Reservations ☐ Technology ☐ Calendar ☐ Maintenance ☐ Communications ☐ Other ______________ For Office Use Only