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MED.UNR.EDU
Event Request
This form is to be submitted at least three months prior to your target event date. It is required for any event involving NSHE leadership, University leadership, donors, or events publicly portraying the School of Medicine.
Event Name
*
Required
Short Description of Event
*
Required
Outline of Event Objectives
*
Required
Has an event budget been created and approved?
*
Required
Yes
No
Do you also have hosting approval?
*
Required
Yes
No
Proposed Event Date
*
Required
If you do not have a date at this time, please share desired season.
Are you considering requesting media coverage of your event?
*
Required
Yes
No
Primary Event Contact Person
*
Required
First
Last
Department Organizing Event
*
Required
Email
*
Required
Phone
*
Required
Event Host
*
Required