Murray Dodge


Organization Name     Chart string

Contact Name    E-mail   Phone/Cell

Event Title      Number of People Expected

Day(s)/Date(s) of Event    List multiple if applicable

Event begins (include set up time)  am/pm.     Event ends (include clean up time) am/pm.

Location of Event

Nature of Event (worship service, study break, meal, etc.) 

List other groups and/or sponsors involved with this event

How is this event being funded?(Please explain and give anticipated costs).
If you need additional space, email Joanne Sismondo.

All university events aer governed by policies as stated on the ODUS website. Please review at

To Do Checklist: Individual submitting this form is responsible for contacting additional event support (if necessary) such as building services set-up/clean-up or equipment at

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