Student Send-Off Request

Chapter name*
Requester name*
First*
Last*
Requester email*
Event Invitations
Event Type*
- In-person
- Virtual
To whom would you like your email invitations sent?*
- Incoming students from your chapter region (will also receive an SMS invitation)
- Currently enrolled students from your chapter region
- All alumni in your chapter region
Event Details
Contact name*
First*
Last*
Email*
Phone*
Will you be providing the link to the virtual event?*
- Yes
- No
Please provide link for virtual event:
Event venue name
Event venue address
Street Address
Address Line 2
City
State / Province
ZIP / Postal Code
Country
Date of event*
Start time*
End time*
Registration close date*
If a head count is not needed before the event, put the date of the event.
Pricing
Please provide pricing information for the groups invited to your send-off event.
Price for incoming students:*
Price for currently enrolled students:
Price for parents/guardians of students:
Price for alumni and other guests:
Event Description
Please include event information — program timeline, food and beverage details, event features, parking information, etc.
Shipping Information
“Proud Badger” buttons will automatically be sent in advance of your Student Send-Off Celebration to the shipping information provided below. For additional event swag, please order through the regular Event Supply Form at least three weeks prior to your event.
Address*
Street Address*
Address Line 2
City*
State / Province*
ZIP / Postal Code*
Country*
Email*
Phone*

Please complete all required (*) fields and correct any error(s) above.