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SEM Registered Social Event Form 2023
If you have any questions filling out this form, please contact the PHA VP of Risk Management (Kayla Gerhardt: umdpharisk@gmail.com
) or the IFC VP of Risk Management (Sean Scott:
seanscottmd@gmail.
com
)
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* Indicates required question
Name of Event
*
Your answer
What is your email?
*
Your answer
What is the name of the host chapter?
*
Full Chapter Name (nickname) Ex: Delta Sigma Phi (Delta Sig)
Your answer
What is the date of the event?
*
MM
/
DD
/
YYYY
What is the location of the event?
*
Your answer
What time will the event happen?
*
Time
:
AM
PM
Does this chapter have approval from its National Organization to sponsor this event?
*
Yes
No
What is the name of the point of contact for the host chapter?
*
Your answer
What is the cell phone number for the point of contact?
*
xxx-xxx-xxxx
Your answer
What is the email address for the point of contact?
*
Your answer
Is another chapter co-hosting the event?
*
Yes
No
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