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Event Request
Event Information
Name of Club/Society/Indigenous Student Circle
Name of event
Date of event
Month
Day
Year
Time of event
Hours
:
Minutes
AM
PM
Is this event part of a series or does this event have muliple dates?
Please use this section if you are booking reoccurring club meetings, multi-day events or an event series such as 'Earth Week'
Yes
No
Please list all other dates and times:
Please include Event Name, Date and Time for each booking.
Event Location (Virtual: Event Platform)
Private Club Event/Open To All Students
Private
Open To All Students
Contact person for event
E-mail address for the contact person
Online Event Information
Event Platform
Do you require any special software to run the event?
(IE. Zoom Account, Netflix/Amazon Prime Streaming Account, Kahoot Trivia Account, etc.
Will event participants be taking on an active role in the event
(Ie: Gaming, Trivia, other Interactive Elements) or a passive role? (ex: watching a movie, watching guest speakers
Is the event going to be hosted live or pre-recorded?
Live
Pre-recorded
Please provide a brief description of the event in the space below:
Budget
Will you be offering prizes at this event? If so – please let us know how prize winners will be selected: Please provide a brief description of the prizing in the space below:
*Please Note: A Contest is a promotion in which entrants win a prize based on merit. A Chance to Win is a promotion in which entrants win a prize by random drawing*
Please list the expenses for the event:
Description (Please include any prizes & paid software needed for the event)
Cost
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Please list any revenue for this event:
Description
Revenue
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How much funding are you requesting for this event?
I certify that the information contained in this form is true.
*
YES
Risk Assessment Questions
Does the event involve the use of alcohol?
*
Yes
No
If yes, please describe where it is being served and who is serving it
Does the event involve a sport, athletic activity, or other activities which have a high risk of the injury to the person?
*
Yes
No
If yes, please describe the ways in which risk is being mitigated at this event:
Does the event involve any activity which involves youth, children or vulnerable individuals?
*
Yes
No
If yes, please describe the ways in which members attending the event will interact with youth, children, or vulnerable adults:
Does the event involve travel in a personal automobile during the event?
*
Yes
No
If yes, who is driving and where are they driving to:
Does the event involve a light sport, athletic activity, or other activity which has a risk of injury to the person?
*
Yes
No
If yes, please describe how risk is being mitigated at this event:
Does the event involve travel off Durham College Campus but not in a personal automobile?
*
Yes
No
If yes, please describe how is transportation occurring and who is responsible for it:
Email
This field is for validation purposes and should be left unchanged.
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Elections
Annual General Meeting
Support Hub
Food Bank
Counselling Services
Emergency Student Fund
Sexual Health Services
Pride Services
Womens Services
Events
DCSA Events
DCSA Networks
Network Updates
Active Networks
Start a New Network
Forms & Resources
Media Hub
Health Plan
Covid Info
FAQ about Coverage
Important Dates
Resources
Contact
Services
Locker Services
Grad Photos
Hospitality Services
Legal Aid
About Us
Financial Information
Important Documents
Staff
Board of Directors
Board Notices
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Contact Us
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