Welcome to the Department of Anesthesiology & Pain Medicine's Event Request Form. Our team is here to assist you in planning and executing your upcoming event. To ensure a successful event, please complete this survey to provide us with some details. 

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* 1. What is the title of your event?

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* 2. Proposed date and time?

Date
Time
Date
Time

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* 3. Alternative Dates for the Event?

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* 4. Does your event coincide with major religious holidays or significant cultural observances? 

Please refer to the following document provided by UofT to check if there are any conflicts: CLICK HERE

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* 5. Where will the event be held?

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* 6. If the event is to be held over Zoom, do you need administrative support from the department to manage the event?

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* 7. Who is the intended audience for your event

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* 8. If you already have a poster for your event, please upload it.

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* 9. Is the event open to the public or is it limited to persons appointed to the Department of Anesthesiology & Pain Medicine?

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* 10. If you need the communications team to create a poster, please upload any photos, graphics, or artwork related to the event that you would like to include in the promotional materials.

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* 11. Will attendees need to register or RSVP for your event?

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* 12. Any additional photos, graphics, or artwork?

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* 13. Any additional information you would like to add? E.g., speaker biography, event learning objectives, etc.

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* 14. Who should be contacted for more information about the event? 

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