Pre-Event Form

Please submit this form a minimum of two weeks prior to your event. Please send any additional material to liamhaviv@idealtogether.org. Please note, failure to submit may constitute a violation of IDEAL policy and result in the withholding of funds for the event or reimbursement. Upon submission of the form, you will receive a response within 24 hours.

School Name

Name

First Name

Last Name

Email Address

Event Title

Date of Event

Event Description

Has the event location been reserved?

Yes

Location Information

If you selected yes to the above question, please provide details about the location (Room, Room Number, Room Capacity)

Collaboration

If IDEAL collaborating with another organization for the event? If yes, please provide the name of the organization and any relevant information.

Guest Speaker

If there are any guest speakers, please provide their name and email address

Name of Primary Event Moderator

Relevant Literature

If there is literature disseminated prior to the event, please attach the links here. If the literature is in the form of a PDF, please note the title here and send in PDF form to liamhaviv@jhu.edu. Please include Blossom articles and names of Blossom contributors.

Electronic Signature

Please sign here to confirm submission of the form.

First Name

Last Name