On-Campus Risk Assessment

This form is for staff or faculty planning or organizing an on-campus event.

Name of Event/Program: * Required
Department / Sponsor: * Required
Location of Event: * Required
Minors? * Required
Start Date: - must be mm/dd/yyyy format
MM slash DD slash YYYY
End Date: - must be mm/dd/yyyy format
MM slash DD slash YYYY
Description of Program/Event: * Required
Please give a detailed description of this program/event.
Additional Comments:
Contact Information
Name:
First Last
Email: * Required
Phone: