Mesa Community College

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Institutional Advancement

Public Relations & Special Events

Special Event Request Form

Want to host an event at MCC? Please submit an Special Event Request Form and be as complete as possible. The inclusion of specific and detailed information will help make your event successful! The Special Event Checklist will help you prepare for your event. Be sure to "check" each item off your list and submit to Public Relations/Special Events as soon as possible so we can plan/prepare for your successful event!

Please note: your event consultation is not scheduled until you have been contacted by Public Relations/Special Events.

 
Date Submitted:   Event Name:  
Requestor's Name:   Email:  Phone:  
Department/Organization:   Additional Department/Org co-sponsor?  YES   NO If Yes - please list:
Event involve a group outside of MCC?   YES   NO If yes - Describe role:  
  To have your event unlisted (private) please check this box:  
 
Event Date Event Time *Setup/Cleanup* # Attending Facility Requested **Facility Assigned**
* minimum of one (1) hour of setup and one (1) hour of cleanup for each event*
**to be completed by Facilities Scheduling**
Nature of Event:  
Describe completely and email agenda to Public Relations/Special Events. Please include topic to be addressed.
 
Event Type:
Conference:   Speaker/Performance:   Reception:   Ceremony:   Other:  
describe:
 
Event Details:
Event Admission? FREE - no admission charge  Admission charge     Amount:
include any group pricing or discount information
Will VIPS be in attendance?     NO    YES   Names:
Will Public/External guests be attending?   NO   YES   Names:
Will refreshments be served?    NO   YES   Who will provide them?
What other services will be needed?
Graphic Design?   Marketing?   Media Relations?   Photography?   Video Production?  Web Services?   Details:

Click once to Submit or Reset to clear the form

 

Questions or Concerns?

Contact Public Relations & Special Events!
Lora Lassitter
Coordinator of Public Relations and Special Events
480-461-7475
llassitter@mesacc.edu

Web Services - Institutional Advancement: email   |   phone: 480-461-7445   |   fax: 480-461-7383   |   Southern & Dobson Building AS-4