Test Form Page Summer Camp / Conference Request Form How did you hear about us? * – Select –ACVBAdvertisementClient rentalFAM tourGT affiliateGT departmentMailerRepeat businessTradeshow: Connect SpecialtyTradeshow: RejuvenateTradeshow: OtherWebsiteWord of mouthUnique venuesOther General Information Organization / Company Name: * Organization / Company Website URL: Your organization’s website or one from a previous year’s event Organization / Company Street Address: * City * State * Country ZIP Code Name of Event: * Event Type: * Select Event TypeProfessional DevelopmentDay MeetingGeorgia Tech AffiliateGeorgia Tech SportExtended Lodging ProgramIntern LodgingReligiousSportsYouth Leadership Purpose of Event * Please include explanation of your event’s educational component. Will Your Program Include Participants Under the Age of 18? * Yes No Unsure Contact Information Event Planner Name: * Event Planner Phone Number: * Event Planner Email Address: * Projections Preferred Start Date * Preferred End Date * Secondary Start Date * Secondary End Date * Attendee Anticipated Arrival Time: * 121234567891011 : 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 AMPM Attendee Anticipated Departure Time: * 121234567891011 : 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 AMPM Approximate Attendance of Guests Who Will Stay on Campus: * Please include all who will stay on site (speakers/leadership) Will Your Program Include Daytime-Only Participants? * Yes No Unsure Approximately How Many Daytime Only Guests will you have? Will you need meals during your event? * Yes No Unsure Will your attendees need parking during your event? * Yes Yes, but not not all attendees No Please describe your event meal needs in detail: Please describe any parking needs in detail: Will your event require a storage room for supplies? * Yes No Unsure Do You Require Meeting or Breakout Spaces During Your Program? * Yes No Unsure Facilities Requested Meeting Spaces Coliseum Classrooms Gym Outdoor Athletic Fields Ballroom Conference Room Lounge Unsure at this time Meeting Space & Schedule Overview Please provide a basic outline of meeting space needs for each day of your conference. Housing Spaces Apartment-Private single-occupancy bedrooms with shared kitchen, living room and semi-private bathroom facilities Traditional-Double occupancy bedrooms with shared bathroom and shower Suite-wo double-occupancy bedrooms with adjoining semi-private bathroom Will your event require linen packets (sheets, blanket, pillowcase, 1 shower towel, 1 hand towel)? Yes Yes, and include a pillow No Please list any universities or colleges that have hosted your conference in past year(s): Do you have any special needs or additional comments? Groups working with Conference Services are strongly encouraged to include the following on all marketing materials for their event: “This program is in no way sponsored by Georgia Institute of Technology, The Board of Regents of the University System of Georgia, or any other affiliated organization. [Program/Event name] is managed solely by Organization * Agree If you are human, leave this field blank. This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Next Start Over
