Qualtrics Survey | Qualtrics Experience Management

Thank you for your interest in hosting your event at UMass Dartmouth.

Please note: this request form is not for internal events. If you are a UMass Dartmouth student, faculty, or staff member looking to host a private event (non- university related, such as a family party), then you should fill out this form.

If you are looking to book a room on campus for an internal student, faculty, or staff event, please fill out the 25Live Room/Event Request Form.

Individuals or groups interested in using the University's Public Forum Space must fill out the UMass Dartmouth Public Forum Space Event Form.

First Name

Last Name

Email

Phone

Organization

Address

City, State, Zip

Event/Meeting Description

Event Date Details

Fixed Date
Recurring
I don't know

Event time

Estimated Attendance

Food and Beverage

My event will need food and beverages.
My event will not need food and beverages.
My event may need alcohol/bar services.

Media/AV-Technical Needs

Describe Space Needs

Preferred Space Layouts

Additional Information/Requests