Fillable COVID-19 Event Approval Form (Southern Illinois University-Carbondale)

Fill Online, Printable, Fillable, Blank COVID-19 Event Approval Form (Southern Illinois University-Carbondale) Form

Use Fill to complete blank online SOUTHERN ILLINOIS UNIVERSITY-CARBONDALE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

COVID-19 Event Approval Form (Southern Illinois University-Carbondale)

On average this form takes 17 minutes to complete

The COVID-19 Event Approval Form (Southern Illinois University-Carbondale) form is 2 pages long and contains:

  • 4 signatures
  • 28 check-boxes
  • 38 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Southern Illinois University-Carbondale

BROWSE SOUTHERN ILLINOIS UNIVERSITY-CARBONDALE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Your Name _______________________________
Email Address ___________________________
Organization ______________________________
Phone Number __________________________
Title of Event _______________________________________________
Conference
□ Workshop
Day of
Week
Date(s) Time(s)
(start/end)
Number
of People
Setup Type
Building/Outdoor Space, Room(s) or
Equipment Needs
-
-
COVID-19 Event Approval Form
□ Other: _______________
□ PrograP
*Events with multiple locations of up to 50 people per location are all to be listed on this form. Please attach additional notes as needed. Please also note that
this form does not confirm space. Space must be arranged with the appropriate facility based on approval of the event.
Please describe the purpose and audience for your event:
Do you plan on having outside vendors present?
□ Yes
□ No
Will you have food at the event?
□ Yes
□
No
If yes, what type of food will you have? □ Prepackaged □ Delivered
□ Caterer
If delivered or catered, please indicate your
potential food provider: ________________________________
Please describe the food plans for your event:
This form is due a minimum of 2 weeks in advance of the proposed event and is intended for events with food, speakers,
vendors and/or events that are marketed to the campus community. Standard meetings of 10 people or less will not
require this form. Event capacity cannot exceed 50 attendees.
Today’s Date ___________
□ Off-Campus
□ Registered Student Organization (RSO)
(YHQW7\SH
□ Meeting
Department
□ Student
□ Faculty/Staff
□ Children
□ Other: _______________
Sponsor
Participants:
□ Yes
□ No
*Please note that this form does not confirm space. Space must be arranged with the appropriate facility based on approval of the event.
During this time, SIU Carbondale is exercising the utmost caution to ensure the health and well-being of our students,
faculty, staff and community members. Please answer the following questions as to how you will take precautions to ensure
the safety of event participants. Please reference the Restore Illinois Meeting and Social Event Guidelines for assistance by
visiting: https://dceocovid19resources.com/restore-illinois/restore-illinois-phase-4/meetings-and-social-events/.
Will you require face coverings? This is a mandatory requirement.
Will you ask event attendees if they are exhibiting COVID 19 symptoms?
□ Yes
□ No
Please visit the Restore Illinois Meeting and Event Guidelines Checklist for Wellness Screenings for questions to ask: https://
dceocovid19resources.com/assets/Restore-Illinois/checklists4/AllChecklists.pdf.
What other measures will you take to ensure proper cleaning and sanitizing procedures are in place?
Please
note considerations per working with the facility, vendors and/or caterers.
How will you ensure your event attendees adhere to social distancing guidelines in your event space(s)?
Please note considerations for event set-up, limiting congregation of people and movement of people during
the event.
Please provide any additional event details we need to know:
____________________________________________
Event Sponsor Signature/Date
____________________________________________
Dean/Director/Date
____________________________________________
Vice Chancellor or Provost Signature/Date
(Recommended to proceed)
____________________________________________
Chief of Police Signature/Date
(Recommended to proceed)
□ Yes
□ No
Will there be a videoconferencing or virtual option for high risk attendees?
□ By checking this box, event sponsor agrees to keep an accurate record of event attendees and will provide
this list, if needed, to appropriate campus personnel
Do you have appropriate PPE in place to hold the event?
□
Yes
PPE refers to personal protective equipment and includes masks, hand sanitizer and social distancing signage.
□ No
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

COVID-19 Event Approval Form (Southern Illinois University-Carbondale)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 24 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document