Colby College Museum of Art

Colby College Museum of Art

Event Request Form

Please note: events are not confirmed until this form is submitted to the Scheduling Office with all necessary signatures

GENERAL INFORMATION:

Event Name: ______Date of Event: ______

Time of Event: Start:______a.m./p.m. End: ______a.m./p.m. Set-up time: ______

Museum Location: ______Estimated Attendance: ______

Sponsoring Organization: ______

Contact Name: ______Contact Phone/Email:______

Security Hired: Yes c # of guards required? _____ Account #: ______

(Four hour minimum for each guard. Please note: Art Museum staff in consultation with Security will determine the number of guards required.)

Set-up specifics (please complete all that apply):

PHYSICAL PLANT:

# of Chairs: ______# of Tables: ______Podium w/Seal: Yes c Stage: Yes c

Stanchions Needed: Yes c Tent outside: Yes c Custodial Coverage Yes c

Special Electrical Needs: ______

Other Details: ______

(Please diagram your specific set-up requirements on the reverse side of this form)

AUDIO/VISUAL:

Microphone/sound ______Slide Projector ______VCR/Monitor ______

CD/DVD ______LCD ______Internet ______

Powerpoint ______Computer (please indicate Mac or PC ______

Other ______

CATERING:

Reception: Yes c Beer/Wine: Yes c Full Bar: Yes c

Luncheon: Yes c Dinner: Yes c Buffet or Served Meal: ______

Other: ______

MISCELLANEOUS INFORMATION:

Museum Staff on Duty: ______

Photographer on Duty: ______

AV Personnel Hired: ______

SIGNATURES (Required for Event Approval):

Museum of Art: ______Date:______

Signature of Authorized Museum Staff Required

Security: ______Date:______

Signature of Authorized Security Staff Required

Scheduling: ______Date:______

Signature of Authorized Scheduling Staff Required

Revised 9/23/2005