Hofstra University Office of Event Management

Thank you for your interest in Hofstra University Housing Facilities. Please note that housing facilities are available for conferences that require housing from May 29 - Aug 15, 2010. Please use this form to submit initial requests only. When filling out this form, please be as accurate and detailed as possible since this will aid in the overall planning of the request.

Conference Services will schedule events and conferences in the order that requests are received.

* Primary Organization Name


(as it will appear on the insurance certificate)
* Please provide your Organization's Mission Statement:

1. *Organization Address
2. *City
3. *State
4. *Zip Code
5. Country
6. Organization's Website:
* What is the legal constitution of the organizaiton? For Profit Not For Profit



Tax ID (If Applicable)
*Is the organization tax exempt? No Yes

*Does the organization have a Dun & Bradstreet Number? No Yes



Dun & Bradstreet Number (If Applicable)
Co-Sponsoring Organizations? (List All)

* Event Contact Name
1. Event Contact Address
   

   (if different from organization address)

2. City
3. State
4. Zip Code
5. Country
Telephone
Fax
* Email
* Logistics Contact Name
1. Logistics Contact Address
   

   (if different from organization address)

2. City
3. State
4. Zip Code
5. Country
Telephone
Fax
* Email
* Payment Coordinator Contact Name
1. 
   Payment Coordinator Contact Address
   
   

   (if different from organization address)

2. City
3. State
4. Zip Code
5. Country
Telephone
Fax
* Email
* On-Site Emergency Contact Name

Telephone
1. * How did you hear about Hofstra?
   

For more information about our facilities, please see our Facilities webpage at: http://www.hofstra.edu/About/campus/OEM/OEM_Meeting_Facilities.html

1. * Event Name
2. *Have you held this event in the past? No Yes
3. 
   If so, Where?
   
4. If you have not held this event at Hofstra University before, please provide references:
   
5. *What is the purpose/topic of your conference?
   

1. * Preferred Check-In Date HH 1 2 3 4 5 6 7 8 9 10 11 12 : MM 00 15 30 45 AM PM
2. * Preferred Check-Out Date HH 1 2 3 4 5 6 7 8 9 10 11 12 : MM 00 15 30 45 AM PM
3. 
   Alternative Dates?
   
4. 
   *Early Arrivals? No Yes
5. If Yes, Number of people arriving early:
6. 
   Early Arrivals Preferred Check-In Date: HH 1 2 3 4 5 6 7 8 9 10 11 12 : MM 00 15 30 45 AM PM

   (If Applicable)

7. *Late Departures? No Yes
8. If Yes, Number of people departing late:
9. 
   Late Departures Preferred Check-Out Date: HH 1 2 3 4 5 6 7 8 9 10 11 12 : MM 00 15 30 45 AM PM

   (If Applicable)

Housing is available from May 29 - August 15th only. (Dates vary)
For more information about housing, please see our Housing Accommodations webpage at: http://www.hofstra.edu/Events/OEM/Conference_Services
/Conference_Services_Housing.cfm

1. * Total number of guests to be housed:
2. 
   Total number of commuter guests:
3. 
   * Number of single occupancy rooms:
4. 
   * Number of double occupancy rooms:
   

   (2 guests per room)

5. * Preferred Linen Options: Choose Linen Option Bare Bed Linen Drop Bed Made
   
6. Additional Housing Requirements/Preferences:
   

For more information about meals, please see our Dining Servies webpage at: http://www.hofstra.edu/Events/OEM/Conference_Services
/Conference_Services_dining.cfm

* Select one or more of the following options:
Declining Balance (Debit Card) - Limited dollar amount for each guest for cafeteria style service
Meal Plans - Choose Meal Plan Package Silver Package Gold Package Platinum Package

Catered Meals - Private dining rooms, customized menus

Boxed Meals - Delivered or picked up

No Meal Plan - Cash only in cafeteria and restaurant locations

Meal Dates and Times
Breakfast HH 1 2 3 4 5 6 7 8 9 10 11 12 : MM 00 15 30 45 AM PM
Lunch HH 1 2 3 4 5 6 7 8 9 10 11 12 : MM 00 15 30 45 AM PM
Dinner HH 1 2 3 4 5 6 7 8 9 10 11 12 : MM 00 15 30 45 AM PM
First Meal Date
First Meal: Choose Meal Option Breakfast Lunch Dinner Reception

Last Meal Date
Last Meal: Choose Meal Option Breakfast Lunch Dinner Reception

1. Describe Any Additional Dining Requirements:
   

1. Check Credit Card Purchase Order

1. 
   * Completed By:
2. * I understand that this is only a request and does not guarantee an approved reservation for your event