Full Name of Person Submitting
What organization/club/department is organizing this event?
What is your role on campus?
- None - Student Faculty Staff
Cell Phone Number
Office Extension if Faculty or Staff
Please select your group type
- None - Recognized SGA student organization Academic Department Administrative/Staff Department Other
If you are a student group, have you met with Lucia White, Coordinator of Campus Life, to receive approval for the event?
- None - Yes No I am a faculty/staff
If not, please meet with her as soon as possible to schedule your event before completing this form. She can be contacted at
or on extension 7128.
Please select which month you are submitting for
- None - Hispanic Heritage Month - September 15 through October 15 National Coming Out Day - October 11 Event Relating to the Shared Read Native American Heritage Month - November Black History Month - February Women’s History Month - March Asian Pacific American Heritage Month - April (Nationally in May)
What is the title or theme of the event?
Who is the event open to? Please select all that apply.
How many people do you expect to attend?
Is there a charge for the event?
If yes, please explain why there is a fee.
What day of the week is the event?
- None - Monday Tuesday Wednesday Thursday Friday Saturday Sunday
What is the date of the event?
Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Year 2018 2019 2020 2021 2022
What time is the event?
Hour 1 2 3 4 5 6 7 8 9 10 11 12
Minute 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59
What is the location of the event?
Have you reserved a space on 25Live?
What is the description for the event? (3-4 sentences)
Please select a category for the event
Review event category descriptions below.
Cultural: Events that refer to ideas, customs, and social behaviors of society. This includes events about customs, laws, social standards, religious beliefs, and traditions.
Diversity: Events that present on the presence of individual and group characteristics that make people unique, which may include the following dimensions: age, country of origin, (dis)abilities, economic background, education level, ethnicity, gender identity and expression, immigration status, political views, race, religion, sex, sexual orientation, and veteran status, among others.
Equity: Events that discuss providing access to opportunities and support that will enable all members of our Rider community to achieve success, taking into consideration individual differences.
Inclusion: Events that engage in the active, intentional and ongoing engagement with diversity in all aspects of the campus experience in ways that ensure environments where differences are welcomed, varying perspectives are respectfully shared and heard, and where every individual feels a sense of respect and belonging.
Other: Events that do not fall into the above categories.
If you are a student group, have you uploaded this event to Bronc Nation? If you are not a student group, please select “Faculty, Staff, and Other event”
Will your event have a speaker from outside of the university?
If you are a student group you must meet with Naquasia Ramsey-Sheppard, Coordinator of Campus Life, to have a contract prepared. If you are a staff or faculty you must work with the Office of Legal Affairs and General Counsel for guidance.