Event Request Form

Your Name*
First Last
Your Professional Title*

(example: Mr., Mrs. Ms. Dr., Prof., etc.)
Your Position

(example: Professor of ______, PhD Student, Director of ______, etc.)
Your University/Affiliation

(example: UW-Milwaukee, etc.)
Your Email*
Phone
Website

Your Professional Site or Event Website
Please Attach a Photo of Yourself
Max. file size: 5 MB.
Head-shot Preferred
What Kind of Event?*
- Colloquium
- Seminar
- Workshop
- MS Thesis/Project Defense
- PhD Dissertation Defense
What kind of traveler are you?*
- Local Traveler (Driving to UWM)
- Long-Distance Traveler (Flyer to Milwaukee)
- Virtual
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Arrival Date*
MM slash DD slash YYYY
Departure Date*
MM slash DD slash YYYY
Hotel Check-In Date
MM slash DD slash YYYY

If different from arrival date
Hotel Check-Out Date
MM slash DD slash YYYY

If different from departure date
Start Location*
Street Address Address Line 2 City State ZIP Code

Mileage reimbursement for personal vehicle
UW Employee ID Number (if applicable)
Completion of a W-9 form and your social security number is required for NON-UW EMPLOYEES for mileage reimbursement, which you can complete and provide in person when you arrive.
Dates for Parking on UWM Campus: Start Date
MM slash DD slash YYYY

Parking at UWM requires a parking pass that will be given to you when you arrive.
Dates for Parking on UWM Campus: End Date
MM slash DD slash YYYY

Parking at UWM requires a parking pass that will be given to you when you arrive.
Date of Birth*
TSA required, must be provided in order to issue airline tickets. Due to University regulations, our department must book all flights.
Preferred Flight Days and Times
If possible, provide exact flight details: carrier, flight number, etc
Departure City

You will receive an airfare confirmation email from Fox World Travel.
Is there anyone in the department you would like to meet with?
Additional information or comments:
For Thesis, Project, or Dissertation Defenses: Name of Advisor*
For Thesis, Project, or Dissertation Defenses: Name of Committee*
Title of Talk/Event Title*
Description/Abstract*
Attach Supplementary Material (images, supplementary documents, etc.)
Drop files here or

Max. file size: 5 MB.
Date of Event
MM slash DD slash YYYY
Time of Event

: Hours

Minutes

AM/PM
Location (if known)

University of Wisconsin-Milwaukee

College of Letters & ScienceGeosciences

Event Request Form

Event Request Form