Person filling out form: (Required)

Contact Person if different than who is filling out the form:

What type of request is this:
Meeting/Summit/Training/InterviewVisit/TourOther

Provide the date(s) of the event:

Provide the time(s) of the event:

Number of attendees:

Please use the following to capture your needs for this event

(Skip what does not apply)

Tour: (Only fill out if you require assistance organizing a tour)
Please list the areas you would like to use for your tour:

List out any specifications that would be helpful in planning your tour:

Room:
I have a room reservedPlease book a room within Nova-TechPlease book a room on campus
Room reserved or additional room requirements: (*Be mindful of set up time)

AV Equipment needs or other room specifications:
HDMI hook up with monitorLaptopMicrophoneSpeakerTV with videoRemote UsersWhiteboardFlipchart
Other:

Meal & Refreshment Needs: *For the following options, we will provide water. If coffee is requested, please note we will brew coffee on-site unless specified differently below.

Breakfast:
Please have this set up by:

Specific place you would like us to order from? If so, please list:

Budget we should stay within:

Dietary Needs:

Special food requests:

Beverages:

Lunch:
Please have this set up by:

Specific place you would like us to order from? If so, please list:

Budget we should stay within:

Dietary Needs:

Special food requests:

Beverages:

Snacks:
Please have this set up by:

Provide options you would like:

Beverages: