Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Basic InfoName *FirstLastOrganization *Phone *Email *Organization Non-Profit StatusNon-profit Certified501(C)(3) OrganizationGovernment AgencyI am a 501(C)(3), but I am a non-profit certified or a state or local government agency.N/AEvent DetailsEvent Title *Event Start Time *Event Start Date *Event End Time *Event End Date *Setup Time *Breakdown Time *Requested Room(s) *Lecture Hall (Room 213)Conference Room (Room 425)Estimated AttendanceRutgers Affiliated GuestsBrief Event Description *Timeline of Activities Planned During EventPlease enter manually or attach a timeline below.Timeline of Activities Planned During Event Click or drag a file to this area to upload. Please attach timeline if relevant.Please list any speakers/panelists for this event.Please list any special VIPs who may be attending this event.Event QuestionsWorking with any external vendors? *YesNoIf yes, please specify:Will services or merchandise be sold? *YesNoIf yes, please specify:Will you have food/catering at your event?YesNoIf yes, please clarify:Will alcohol be served or sold? *YesNoIs the event open to the public? *YesNoWill the event be advertised off campus? *YesNoWill admissions or donations be collected? *YesNoWill tickets be sold at the door? *YesNoIs media expected to be at your event? *YesNoIf yes, please list which media outlets will be attending:Event SetupSetup Type (select all that apply) *U-Shape ConferenceClosed Conference SquareHollow Conference SquareTheater/RowClassroomBanquetCircle of ChairsReceptionFairGeneral Equipment & A/V Equipment (insert quantity)6' x 30" Rectangular Table6' x 18" Rectangular Table6' Round Table (seats 8)PodiumAdvanced AVBistro TableChairsEaselCoat RackStage Pieces (4' x 8' per piece)In-Room Projector/ScreenIn-Room TV/MonitorWireless MicAgreementAs an authorized representative of my organization, I certify to the best of my knowledge that the information provided above is accurate and I accept responsibility for the conduct of the group using the facilities, their compliance with time and purpose specified above, any and all charges incurred, and guarantee Rutgers University against personal injury and damage to property, its replacement or repair as necessary. I agree to restore the space to an orderly condition for the next event. I have read and understood the policy statements on https://go.rutgers.edu/RUNEvents and agree to abide by all applicable policies of Rutgers University and NJ State laws and regulations. I agree that this is a request for space, not a confirmation, and should not advertise this event until receipt of a confirmation document.I agree to the terms above.Submit Application
