CMS Family and Community Services
Back to School Event Request Form
Name of Organization
Date of Event
Time of Event
Address of Event
Sponsor Contact Name
Sponsor Phone Number
Sponsor Contact Email Address
Estimated Number of Attendants
Indoor or Outdoor Event
Describe Your Event
(Include target audience information and ultimate goal of your overall event and our participation; include specifics of time for speaking requests)
Back to School Event Services offered by Family and Community Services-Parent University
(Place an X by your service need)
_____ Workshop Request (Back to School Info Session: 45 minutes)
______ Materials Request
_____ Department Booth
______ Speaker Request
Certain event requests require equipment and set up. Do you have the following (check all that you have)
____ Laptop
____ LCD Projector
____ Microphone
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____ Facilities for a Class (Indoors)
____ Projection Screen or Clear Projection Area
____ Table for Booth
All events should be submitted at least 2 weeks before the actual event and no later than August 1, 2012.
Type in this document , save, and email the completed copy as an attachment to:
Fahnie Shaw at [email protected]
Instructions & Clarifications for Completing the Event Request Form
1.
Enter all of the information requested on the form provided. You may extend the pages to enter all of the
information that you would like us to have and save your document as you chose to do so. You have the
option to type or write and scan the document back to us.
2.
If you select a speaker request, you want someone from our department to talk more about Family and
Community Services - Parent University and what we do and offer throughout the year. A workshop is
different in that, you would like an information session that can be tailored to what you provide in your
description of the event. Speaker Request are 10-20 minutes and Workshop Request are 45 minutes to
an hour.
3.
Submit the completed form and send it back as an attachment at least 2 weeks in advance of your event
and no later than August 1, 2012.
4.
Do not attempt to fax this form or call to have this form completed. We want full confirmations and
communications through e-mail for our records and yours. If you have any issues with sending this form,
please call 980-343-6256.
5.
In your email submission, the subject can read: Back to School Event Request. You will receive a
confirmation within 48 hours that your submission has been received and a confirmation within a week
from your submission of the request if we are able to provide services.
Thank you for partnering with us and we look forward to working with you!
CMS Family and Community Services Department
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All events should be submitted at least 2 weeks before the actual event and no later than August 1, 2012.
Type in this document , save, and email the completed copy as an attachment to:
Fahnie Shaw at [email protected]