WOW Request Form

Event Details

Event Name:

Location Name:

Address1:

Address2:

City:

Select

State:

Select

Zip Code:

Ward

Select

Date:

Time:

Purpose:

Sponsor(s):

Event Type

Venue Type

Indoor

Outdoor

If it is an outdoor event, is there a plan for inclement weather?

Yes

No

Inclement weather plan

Single Event

Yes

No

Recurring Event

Weekly

Bi-‐weekly

Monthly

Quarterly

WOW Services Requested

Information Table

General DOES information provided at a table

Yes

No

Job-readiness Workshop

Workshops presented in a group setting

Yes

No

Job Readiness and AJC Services Materials

Yes

No

Attendees

Number of Expected Attendees:

Specific Attendee Demographic

Youth

Adult

Seniors

Veterans

Public Event

Yes

No

Invitation Only

Yes

No

Promotional Tools

Social Media?

Facebook

Twitter

Instagram

Flyers and other forms of promotional media?

When will the promotion for this event begin?

Contact Information

Pre-event Point of Contact

Name

Email

Main Phone

Cell Phone

On-site Point of Contact

POC Same

Yes

No

Name

Email

Cell Phone

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