Name of Event Organizer Title of Event Organizer Contact Phone Number Email Address Please indicate your affiliation(s) with Georgia Tech Student Faculty GT Employee GTRI Employee Other Department or Lab Job Title Describe your relationship with Georgia Tech Sponsoring GTRI employee (if applicable) Research Area the Event Supports Is your event affiliated with any of the following A Georgia College or University Georgia K-12 school or school system A Government Agency None of the above Government Agency or Department Name/Title of Your Event Describe the purpose of your event Preferred event dates Preferred event dates Preferred event dates Add more items more items Preferred start time Preferred end time Are your dates flexible? Yes No Room Choices Auditorium P/F 119A 119B 119C Anticipated Number of Attendees Will you be charging for admission to the event Yes No Fee per person $ Is your event open to the public? Yes No Will your event be during regular business hours (8am-5pm)? Yes No Will your event take place after 5pm? Yes No Does your event take place on a weekend? Yes No Will you be serving food at your event? Yes No Will news media be invited to your event? Yes No Will there be non-US citizens/foreign nationals attending your event? Yes No Do you expect any high-profile dignitaries to attend your event? Yes No Before submitting, please review our Policies and Procedures and be aware of the new Parking Policies and Procedures. I certify that I have reviewed the policies mentioned above.