CampusGroups

Academic/Co-curricular Application - Expanded Student Programming Committee

Please complete this form if your academic/co-curricular event requires an exception to the current event policies: https://studentaffairs.duke.edu/ucae/policies.

If you have questions before completing this application, please email – Activities21@duke.edu

Contact Information

Primary Contact Name *

Duke Affiliation *

Duke Student

Duke Faculty

Duke Staff

Duke Email Address *

Phone Number *

School/department/program affiliation *

Activity Basics

Activity Name *

Brief Activity Description *

Please list any anticipated support needed and/or use of campus services expected (parking, housekeeping, security, ticketing, registration, grounds/recycling for clean-up) *

Why it is critical for this activity to be in-person instead of virtual? *

What is your COVID19 safety plan? *

Proposed Date(s) and Duration *

Event cannot exceed 4 hours

Proposed Location *

Target Audience *

Event cannot include members of the general public

Expected Number of Attendees/Participants *

Has this activity already been reviewed by school/department/program leadership? If so, explain. *

Has this activity been offered in the past? *

Yes

Other (please explain)

Comments:

Other information that will be useful to reviewers:

How will you advertise this activity? *

Suggested locations are All Duke Facebook, Duke Calendar, university-wide email blasts, DSG presidentÔÇÖs blast, DukeGroups, University Box Office, etc.

Do you/your organization have any funding to contribute? If not, amount of funding request. *