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Event Request Form

Your Name*
Please select your immediate team leader.

Event Overview

Is this an in-person or virtual event?*
Proposed Event Date*

This date is unavailable due to blackout bands. Please contact Heather Seethoff (hseeth@uw.edu) if you have questions.

Please allow a minimum of 8 weeks to fulfill a virtual event request. Please speak directly to Heather Seethoff (hseeth@uw.edu) to confirm event feasibility prior to submitting this form.

Please allow a minimum of 12 weeks to fulfill an in-person event request. 

Please speak directly to Heather Seethoff (hseeth@uw.edu) to confirm event feasibility prior to submitting this form.

Was this event included in your annual plan?*
As you think about your primary audience, which sentence best describes what they care about most in their engagement with UW Medicine?*
If your event is taking place in the next 6-8 weeks, have you spoken with Heather Seethoff?
If your event is taking place within 4 weeks, have you spoken with Heather Seethoff?

Event Details

e.g. Lunchtime, Happy Hour, Evening, 4 - 6 p.m., etc.
e.g. Virtual meeting, SLU, UWMC, donor home, etc.
e.g. Zoom, video/recording, house party, lab tour, lunch & learn, reception, dinner, etc.
How many people are you inviting? Who are they? How are you building your event invitation list?
Does your invitation list include patients?*
Proposed Outreach Tactics
Budget Sources

Initial Review

Please note: the data submitted above may be edited as needed during this step.

Select one of the following options:

If “Events team support NOT required” is selected, the user will receive an automated email from Heather that says, “After reviewing your request, it appears that support from the Events team is not required for this event. Please submit a separate request for the Communications team, if applicable. If you believe this to be an error, please let me know.”

If “Canceled” is selected, the user will receive an automated email from Heather that says, “Your event request has been canceled. If you believe this to be an error, please let me know.”

Do you have comments for the requester?

Leadership Team Review

Please note: the data submitted above may be edited as needed during this step.

Enter one email only.
Enter one email only.

Assign to Events Team Member

Please note: the data submitted above may be edited as needed during this step.

Enter one email only.
Enter one email only.

Status Update

Please note: the data submitted above may be edited as needed during this step.

Cancel
Confirm