Thank you for contacting AIA|DC about hosting a committee event. Please fill out the following form no less than one month before the event date. Committee Committee requesting this event Contact name Committee contact name Email address The email address for the committee contact. Phone number Event co-sponsors List event co-sponsors, if applicable 2nd co-sponsor (if applicable) Add another co-sponsor 3rd co-sponsor (if applicable) Add another co-sponsor 4th co-sponsor (if applicable) Add another co-sponsor Additional co-sponsors Add any additional co-sponsors here. One sponsor per line please. Event title What is the title of your event? (max. 70 characters) Event description Describe your event. Please use a minimum of 100 words in your description. Presenter Name Presenter Bio Number/type of AIA credits Specify the amount and type of credits to be used towards this event. At the end of this course, participants will be able to… See instructions for writing learning objectives. Learning objective 1 Learning objective 2 Learning objective 3 Learning objective 4 If HSW, please provide justification. (2-3 sentences describing why this is a health, safety, and welfare course.) Event Start Date/Time Must be at least one (1) month from date of event request. Event Start Date/Time: Date Event Start Date/Time: Time Event End Date/Time Event End Date/Time: Date Event End Date/Time: Time Capacity Will your event need break-out rooms? - Select -YesNo Location Name Address Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Meeting Location for tours and offsite events You must have $350 in sponsorship in order to present an event for free. Would you prefer standard pricing or do you have sponsorship? - Select -Standard pricingWe have sponsorship If you have or are anticipating sponsorship, who is it from? Please note that we must have the funds before we will post your event. Add Sponsors Please list any sponsors of the event and their logos. Accepted file formats are .gif, .jpg, and .png. Sponsor One Sponsor Name Sponsor Logo Accepted file formats are .gif, .jpg, and .png. Maximum file size is 2 MB. One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png. Please enter a sponsor name and logo. Sponsor Two (if applicable) Sponsor Name Sponsor Logo Accepted file formats are .gif, .jpg, and .png. Maximum file size is 2 MB. One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png. Please enter a sponsor name and logo. Sponsor Three (if applicable) Sponsor Name Sponsor Logo Accepted file formats are .gif, .jpg, and .png. Maximum file size is 2 MB. One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png. Please enter a sponsor name and logo. Sponsor Four (if applicable) Sponsor Name Sponsor Logo Accepted file formats are .gif, .jpg, and .png. Maximum file size is 2 MB. One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png. Please enter a sponsor name and logo. Add Photos Required for public programs and tours. Please add up to three (3) photographs along with a caption and photo credit. Accepted file formats are .gif, .jpg, and .png. Photo One Upload a Photo One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png. Photo Caption & Credit Photo Two Upload a Photo One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png. Photo Caption & Credit Photo Three Upload a Photo One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png. Photo Caption & Credit Photo Four Upload a Photo One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png. Photo Caption & Credit Is the content of this event suitable for the public? - Select -YesNo This question helps us determine how to market the event best. Select "No" if the program is aimed at professionals and "Yes" if the public would also enjoy the program.
