PEAK Peer Network Event Details Form

1.Peer Network Name(Required.)
2.Event Title(Required.)
3.Start Date and Time(Required.)
Date / Time
Time
:
4.End Date and Time(Required.)
Date / Time
Time
:
5.Time zone of event.(Required.)
6.Event Description (Meeting descriptions will be posted on the PEAK registration website to help promote upcoming events and share programming.)(Required.)
7.Event Objectives, what can participants expect during this event?
8.Which of PEAK Grantmaking’s five Principles resonates most with your meeting? (Please select one.)(Required.)
9.If applicable, share the speaker's:
10.If applicable, share the second speaker's:
11.If applicable, share the third speaker's:
12.Location(Required.)
13.If virtual, will session be recorded?(Required.)
14.If applicable, share in-person event information:
15.Will there be a sponsor or host? Please let us know if any organization(s) are covering the costs of the venue, meals, beverages, etc.(Required.)
16.If this event is being sponsored or receiving a donated space or materials, please share the organization's name and who the in-kind donation acknowledgement and thank you letter should be addressed to.
17.Will there be catering?(Required.)
18.If applicable, share the preferred caterer's information.
19.Are there any capacity restrictions?(Required.)
20.Will you be requesting pre-approval for speaker honorarium or reimbursement for any expenses for this meeting?(Required.)
21.Are there any supplies requested for this event?(Required.)
22.For chapters only, is there any reason that this meeting should be limited to your chapter members only? If so, please share.
23.Is there anything else that should be noted about this event?
24.What is your name?(Required.)