Carson Event Request Form

Requester Information

Name of the Requestor/On-Site Contact*

First Last

Requestor Title/Dept*

Was this event approved?*

Yes
No

Event Details

Event Name*

When do you want to conduct the event?

Minimum date selection is 2 weeks out from today.

Date #1*

Date #2*

Date #3*

Preferred Start Time*

:

Preferred End Time*

:

If unsure of exact time, please select your preference*

Type of Event*

Where do you want to conduct the event?

Event City*

Event State*

Event Region*

Specific Event Venue*

Event Purpose*

Social/networking event
Educational workshop/seminar
Prospecting new business
Client appreciation
Personal Stakeholder
Other

Other Event Purpose*

Audience*

Other Audience

How many attendees are you expecting?

Please include a high-level agenda.*

Will you be requiring a Carson speaker?*

Yes
No

Speaker's Name

Speaker's Topic

Registration and Content Information:

Please provide an event description, including high level bullet points of the specific topics being covered.*

Please select any of the below that you will be requesting assistance with:*

Please note, based on your requests below, the marketing at events team may require more than 12 weeks to complete.

Enter Other Assistance Needed*

Any additional comments:

Electronic Submission form for all Carson events.