EventProConnect

Dubois Center Event Request Form

Please fill out the information below and click submit, please ensure you receive the success message at the end.

Company Information

Company/Department Name:*

Contact Information

First Name:*

Last Name:*

Primary Phone:*

Primary Email:*

Event Information

Event Name:*

Event Category:*

Event Date:*

Event Setup Time:*

Event Start Time:*

Event End Time:*

Additional Dates: separate with and/or:

Est. Attendance:*

Please list all organizations/departments involved with this event:

Name of on-site point contact for event:*

Who do you anticipate will attend this event? Select all that apply:*

UNC Charlotte Students

UNC Charlotte Faculty/Staff

Non-University Guests

Minors (anyone under the age of 18 not university student)

Are you inviting an Elected Official (Local, State, or Federal)?:*

Are you inviting a candidate for Public Office (Local, State, or Federal)?:*

Are you inviting someone campaigning on behalf of a candidate for Public Office?:*

Speaker/Presenter with national or international recognition?:*

Event Summary:

Event Charge:

Open to the Public:

Exhibit/Vendor Tables:

Room Prefered:

Auditorium (seats 300 max)

Lecture Hall - (seats 90 max)

Atrium (space for catering and receptions) (max capacity 300)

Lounge 206 (capacity varies)

Gallery (capacity varies)

Ideation Lab (capacity varies)

Board Room 1106 - (seats 12 max)

Conference Room 1103 - (seats 22 max)

Other Conference Room (capacity varies)

Basic Classroom (capacity varies)

Active Learning Classroom 1101 (capacity 55)

Large Classroom 901 (capacity 110)

Classroom Setup Preferred:

Pods

Rows

Tiered

U-Shape (seats max 20)

Hollow Square (seats max 30)

How many breakout rooms do you need?:

AV/Equipment Resources Needed:

Podium

Microphone

Laptop for presentation (auditorium only)

Projector and screen (N/A in atrium)

Portable Monitor

Portable Speaker System

Slide Advancer

Conference Phone

Video Conferencing System (Zoom Capable Room)

Catering:

Buffet

Plated

Boxed

Refreshments Only

No Food or Beverage

Alcohol Service:*

Beer and Wine

No Alcohol

Serving alcohol requires a minimum catering order of $15/guest. Initial here to comply:

Additional Comments or Event Details:

Finish