Primary Organizer Name*:
Megan Hutson
Regis Email*:
mhutson@regis.edu
Cell Phone Number*:
903-330-6439
Regis ID Number*:
2893663
Sponsoring Organization or individual (Must be a recognized club, organization, University department or Regis Employee)*:
OTD Program
Additional responsible parties and email addresses:
Suzanne Holm- sholm001@reigs.edu
Kendall Horan- khoran@regis.edu
Is this a RUSGA Executive Cabinet Committee initiative?*:
No
If a student-sponsored event, has your committee advisor signed-off?*:
Yes
Please include the name of that committee advisor.*:
Suzanne Holm
Advisor Email*:
sholm001@regis.edu
Faculty/Staff Advisor Overseeing the Event*:
Suzanne Holm
Is this event for an academic class?*:
Yes
Please list class title, faculty name, faculty contact and exact number of students enrolled in the class.*:
Research Implementation II OTD 400- Suzanne Holm- sholm001@reigs.edu- 21 students
Title of the Event*:
Tabling Recruitment for Occupational Performance and Participation Patterns in College Students: Transition to Undergraduate Education Using a Mixed-Methods Approach
Please describe your event, including an agenda and description of activities.*:
We are requesting tabling for research purposes and have been approved by both Creighton and Regis IRB to complete tabling. Students will be handed sheets of paper with a QR code to complete the survey. We have also contacted David Law for approval in the Office of Student Affairs.
Date of Event*:
10/25/2019
Back-Up Date (in case 1st choice is not available)*:
10/28/2019
Start Time*:
2pm
End Time*:
4pm
Estimated number of people who will be involved in this activity.*:
2
What types of activities are you planning for this event of event will your student organization be hosting? Please select all that apply.*:
Recruiting for survey participation
How does the event support the Regis University Jesuit mission?*:
We are hoping to gain insight into students experience during the transition to college as a way to improve services and 1st-year experience at Regis University.
If your event involves any other organization or university department other than Sponsoring Organization listed above, please provide the name of the organization/department and contact information for the person you have been collaborating with from that organization/department:*:
N/A
Is this a fundraising/philanthropy event for an external organization?*:
No
If you are raising money (Philanthropy/Fundraiser), name the organization that will be receiving the funds or what the funds will be used for?*:
Website*:
Charity Contact Name*:
Charity Contact Email/Phone Number*:
Are you wanting to request a table?*:
Yes
1st choice for the location of your table: (i.e. Student Center Lobby, Student Center Patio, Clarke Hall, Loyola Hall) *:
Student Center Lobby
2nd choice for the location of your table: (i.e. Student Center Lobby, Student Center Patio, Clarke Hall, Loyola Hall) *:
Student Center Patio
1st choice for the location of your event: (i.e. Quad, Library Steps, Classroom, Conference Room, Event Space)*:
Quad
2nd choice for the location of your event: (i.e. Quad, Library Steps, Classroom, Conference Room, Event Space)*:
library steps
Are you planning to sell any items?*:
No
Please describe the items you wish to sell and for what the proceeds will be used.*:
Will you be selling or distributing foods and/or beverages?*:
Yes
What kind of food/beverage do you plan to distribute or sell? Please describe.*:
Candy will be provided at the table for students to grab free of charge.
Will there be any outside group(s) or individuals participating or in attendance at your event? * (Please note that outside groups and individuals are prohibited from attending demonstrations on campus.)*:
No
Name of Outside Organization*:
Website of Outside Organization*:
Name of Contact Person (Outside Organization)*:
Email for Person (Outside Organization)*:
Will you have a speaker at your event?*:
No
Topic*:
Please describe the presentation in detail, including the intended audience, purpose, and how the event supports Regis University's Jesuit mission.*:
Organization Affiliation*:
Speaker Name*:
Speaker Contact Info*:
Speaker Website*:
Organization Affiliation website address*:
Are there anticipated security needs for this speaker?*:
Please outline anticipated security needs:*:
Contact name/number for head of security detail:*:
By checking this box, I understand and confirm that my event does not violate the Regis University Code of Conduct and that if information is falsified in this request form (i.e. you or your organization promotes/solicits/sells something different than what is approved) that my event can and will be terminated immediately with the possibility of further disciplinary action pertaining to myself or my organization.*:
I understand and agree to the aforementioned expectations
Location:
Student Center Atrium Table/Chair