The Student Organization Online Event Request Form

First Name *

Last Name *

Phone Number *

Middlesex College Email Address (my.middlesexcc.edu / middlesexcc.edu) *

Club/Organization *

If other, indicate your club name *

Are you co-sponsoring this event with another student organization? *

Yes

No

Use the text below to add the name of the co-sponsoring student organization(s). Click the green (+) sign to add another text box to list multiple student organizations. *

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Event Type *

If "Other", use the text box below to indicate your event type. *

Will your event be held in-person or virtual *

Virtual

In-Person

Virtual Event Platform *

Event Title *

Date of event * +

Recurring Event? *

if yes, list dates

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Event start time *

Event end at *

The Student Life Office allows movie screenings through the permission of the filmmaker unless it is publically avaliable. Any inquiry regarding the availability of a movie must be made with the Student Life Office at least three (3) weeks in advance of the intended screening date in order to allow time for the delivery of the film.
Requested Movie/Documentary Name *

ZOOM event details. Click the one that applies *

My student organization already has a ZOOM meeting ID/URL and password or CANVAS conference reserved for the proposed event and do not require assistance (Add all zoom/canvas conference information to the Event Description)

My student organization requires Student Life Office assistance setting up a ZOOM meeting ID/URL for the proposed event

If you do not plan to use ZOOM or CANVAS for your proposed event, use the text box below to indicate the digital platform you will be using. *

Event Description *

Pending event approval, indicate areas of event promotion that you require assistance with. The Student Life Office will make all attempts to assist you with your event promotion *

Assistance with digital flyer creation

Assistance with posting to my club CANVAS page

Assistance with posting to the Student Life CANVAS page

I do not require any assistance with the promotion of this event

Notification agreement *

I understand that the my advisor will be copied on all reservation confirmations and questions regarding my request. My advisor is aware of the proposed event.