Campus Speakers Policy:

Event Information Notice

To be completed by event Sponsor

Event Sponsor:               __________________________

                                      Recognized group or organization;

                                                Academic or administrative unit

Sponsor contact person:  __________________________

                                      __________________________

                                      Name, email, phone #, campus address

Event date:            ______________________

Event location:       ______________________

Event Description:           ________________________________________________________          ________________________________________________________          ________________________________________________________          ________________________________________________________

Publicity for event: _________________________________________

          ________________________________________________________

Date filed:                     __________________________

To be completed by responsible campus official

Filed with:                     __________________________

                                    Responsible campus official                  

                                    Received by:     ______________                    Date:

                                    Public Relations contacted:        __  Yes           __ No

                                    Police Services contacted:          __  Yes           __ No

Campus Speakers Policy – Event Information Notice Form