Alumni Chapters

Full Name:

Alumni Chapter:

Email:

Phone:

Are you the main contact for this event?
Yes   No  

Alternative Contact Name: Alternative Contact Email: Alternative Contact Phone:

Event Title:

Event Category: Alumni ConnectAcademic InterestProfessional Development and NetworkingStudent FocusService

Event Description/E-vite Message:
(suggested 2-3 sentences)

Event Date:

Start Time:

End Time:

Would you like an e-vite sent for this event?
(The form must be submitted at least four weeks prior to the event. Events with a vendor, speaker, or ticketing component must be submitted six weeks prior to the event.)
Yes   No  

Would you like door prizes provided to your Chapter?
(chapters within 30 miles must pick up from our office)
Yes   No  

Address:

City:

State: AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code:

Website:

Parking Info:

Select any of the following that apply to this event, if applicable:

The venue will be offering special discounts  
There will be a guest speaker  
Admission will be charged  
The event involves the purchase of tickets  
The event will be sponsored by a company or individual  

Please provide event graphics that you would like us to use to promote your event (optional):
Accepted file types: .jpg, .jpeg, .png, .pdf
Max total upload size: 2MB

Any additional information, needs, or comments (optional):