Services Agreement Request Form

Street, City, Zip Code

UCSF-Affiliation*

Are you currently a UCSF employee?

Event Packages

All Service Agreements:

  • Space rental


Basic Package:

  • Customer manages payments (not UCSF)
  • Service Fee (8% service fee)
  • Arrange event space
  • Set-up and break-down
  • Basic AV/projector
  • Security


Premium Package:

  • Service Fee (13% service fee)
  • Arrange event space
  • Equipment set-up and break-down
  • AV/projector, streaming, recording
  • CEU request and approval
  • Security
  • UCSF collects and manages payments and disburses honoraria
  • Order light refreshments/meals if needed


Example Budget

Package Selection*

What will be the cost of the registration fee?

Location*

Venue Options

Facilities

Event Setting*

Will your event take place in-person, remotely, or both?

Classroom Features


Please select all that apply.

Will your event require a registration area that includes tables or chairs outside the space?


Please select all that apply.

Please list any special equipment your event may require.

Please select all that apply.

Marketing

First & Last Name, Degree, Institution/Company Affiliation

Example: Cathy Hoang, DPT, UCSF

Please select all that apply.

Please select all that apply.

Refreshments and Meals

If event is on a UCSF venue, UCSF must be in charge of drop-off catering. Light refreshments are permitted.

Meal Service

Do you plan on providing light refreshments or meals?

Additional Information

Please provide any additional details or information relevant to your planned event.


Example:

  • 'Other' Target Audience
  • Information to be included in registration portal
  • Particular venue request

Please upload any files relevant to your planned event.


Example:

  • Company-specific agreement forms
Drag and drop files here or
Powered by Smartsheet Modern Logo On Light
Privacy Notice|Report Abuse