MEMBER Event Request 22-23

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If you have a service event opportunity to share with the society to receive extra credits as Event Coordinator, you may share that information in this form. To clarify, the board will NOT retroactively award credits; rather, it will either accept or deny credit before the event.

- Must notify the board via this form at least 10 DAYS before the event takes place
- If the event is approved, you will receive an email from the board notifying you that the event is approved and reminding you to fulfill the responsibilities of event coordinator.

Thank you!

Full name *

Event name *

Event date *

YYYY

Event start time *

Time

Event end time *

Time

Nature of Event Organization *

This is an event sponsored by another organization that is requesting multiple volunteers.

This is an event I am organizing alone that will require multiple volunteers.

Name & Contact of Event Sponsor if the event is being hosted by another organization

List 3 or more NHS members you expect to participate in this event.

Event description for NHS Portal *

Your phone number/email to be contacted as event coordinator *

Volunteers Needed (is there a minimum or maximum?) *

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