Monthly Meetings Request Form Student Organization: * Required Student's Name: * Required First Last Student's Title: * Required Student's Cell Phone: * Requiredinclude area codeStudent's UAMS Email: * Required Chapter Advisor's Name: * Required First Last Event Date: * Required MM slash DD slash YYYY Event Start Time: * Required : Hours Minutes AM/PM AM PM AM/PM Event End Time: * Required : Hours Minutes AM/PM AM PM AM/PM Event Location (Include UAMS bldg/room or off-campus name/address)Event Description: (2-4 sentences required) Required * RequiredGuest Speaker Information: Include Name(s), Title/Company, Email, & Topic * Required(includes UAMS faculty/staff and external guests – if there is no speaker, please enter n/a)
