Becker College | Event Registration Request

Contact Information

Contact Name*

First Last

Contact E-mail*

Contact Telephone*

Are you a member of the Becker College community?*

Yes
No

Are you a Becker College student?*

Yes
No

Department Name*

Company/Organization Name*

Please provide the name of the individual at Becker you are working with*

Contact Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Club/Organization Name*

Advisor Name*

First Last

Advisor Becker Email Address*

Co-sponsor (if applicable)

First Last

Event Information

Event Name*

Purpose of Event

Will this be a multi-day event/program?*

Yes
No

Date of Event*

MM

DD

YYYY

Dates of Event*

Start of Event*

: HH

MM

End of Event*

: HH

MM

Who will this event be open to?*

Becker Student: Becker students only
Becker Community: Becker Alumni, Faculty, Staff & Students
Public: Anyone welcome
Closed: Invitation or Registration Required

Anticipated Number of Attendees*

Space Request

Where will you be hosting your event?*

Worcester
Leicester
Other or Off Campus

Other/Off Campus Location

Space Type Needed*

Conference Room
Classroom
Event Space
Table
Recreation Space
Lodging/Housing

Space Preference

If you know where you would like to hold your event, please specify here.

Set-up*

Please indicate how much time you need to accommodate for setup. Examples: 1 hour or 30 minutes

Break down*

Please indicate how much time you to accommodate for break down. Examples: 1 hour or 30 minutes

Resource Needs

Please let us know if you need any of the following resources for your event.

Facilities/Set-up including but not limited to podiums, stages, tables & chairs
A/V
Catering
Campus Police
Reserved or Large/Abnormal Vehicle Parking
Transportation
Ticketing
Parking

Please describe your resource needs and set up:

Catering Needs

Who will be providing food?*

Chartwells On Campus Catering
Providing Food Independently

Which meals will you require?

Breakfast
Lunch
Dinner
Snack

What is the budget you are willing to spend on catering?

What type of menu are you looking for at your event?*

Where will food be provided from?*

Will there be alcohol served at your event?*

Yes
No

Will the alcohol be:

Available for cash
Becker-sponsored
External host-sponsored

Parking Details

How many cars are you expecting to have at your event?*

Do you need parking spots reserved?

Yes
No

How many?*

Will there be any large or abnormal vehicles (i.e. buses, moving trucks, etc.)?

Yes
No

Transportation

Are you using Becker College Transportation or an outside vendor?*

Becker College Transportation
Outside Vendor

Have you or anyone from your department/group submitted a transportation request form at this point in time?*

Yes
No

In addition to submitting this form, all Becker College transportation requests must also be made.

Please list the name, services provided and cost of the vendor being used.*

Ticketing

Will the tickets be free, or will attendees be charged?

Free Tickets
Ticket Charge

Ticket Pricing*

Please enter the ticket price you will be charging.

Raffle, Prizes, and Giveaways

Please select what swag you plan on distributing at your event*

Raffle
Prizes
Free Giveaways
Not Applicable

Please enter any specific swag that will need to be purchased for this event

Publicity Needs

Select all forms of publicity you are planning on using to promote this event?*

Employee Portal Announcement (staff, faculty, and employee audience)
Becker Buzz (student audience)
Event on Campus Calendar at becker.edu and in Student and Employee Portals
Fliers
Word of Mouth
Social Media
Other

Select all forms of publicity you are planning on using to promote this event?*

Employee Portal Announcement (staff, faculty, and employee audience)
Becker Buzz (student audience)
Event on Campus Calendar at becker.edu and in Student and Employee Portals
None

Other Publicity*

Campus Calendar Description Text (who, what, why; detailed; subject to editing)

Please indicate which of Becker College's Core Value(s) this event promotes:*

Excellence
Accountability
Community & Diversity
Social Responsibility
Integrity
Creative Expression

To explore and learn more about Becker College's Core Values, visit: https://www.becker.edu/about/vision-mission/core-values

Submission Confirmation

Successful submission of this request form will lead to a confirmation webpage as well as a copy of the submission being automatically sent to the Contact's Email. If the form reappears after hitting "Submit," please scroll down the page and look for any errors, frequently located in required fields marked with an *.

Request An Event

Becker College Event Reservation Request

Contact Information

Event Information

Space Request

Resource Needs

Catering Needs

Parking Details

Transportation

Ticketing

Raffle, Prizes, and Giveaways

Publicity Needs

Submission Confirmation