Integration Meeting Request Form Upon completion of this form, the Meetings Team will evaluate the scope of needs based on the information provided below. Once approval has been confirmed through the Integration Management Office, the appropriate Globus Personnel will be assigned to assist you with finalizing the needs of this meeting. Request Date (Select Today’s Date)* MM slash DD slash YYYY Requestor Name* First Last Title* Email Address* Department Cost Center* Event Start Date* MM slash DD slash YYYY Event End Date* MM slash DD slash YYYY Event Location* Agenda Topics*Please briefly describe the topics that will be covered during this meeting.Agenda Draft*Approval to host this meeting is contingent on the agenda provided.Max. file size: 50 MB.Anticipated Attendee List*Please ensure the attendee list includes First & Last Name, Title, and Organization. Also be sure to include all internal attendees that will be expected to participate in the catering functions.Max. file size: 50 MB.Event Space RequirementsEvents taking place at Audubon HeadquartersPlease select the rooms you would like to reserve (availability will be confirmed once event is approved) 2560 Auditorium Arnold (MPR) Washington If your event will require additional meeting rooms to be used simultaneously, please identify the scope of your needEvents taking place at alternate locationsPlease identify the event space requirements General Session Breakout Room(s) Meal Room (If you prefer not to host working breakfast or lunch and would like to take a formal break) Office/Storage Room (Ideal for storing equipment and shipped items) Please identify quantity of breakout rooms*Food & Beverage RequirementsPlease select all that apply. The assigned Meeting Planner will work with you to determine what type of catering will be utilized. Breakfast Lunch Group Dinner (off-site) Select breakfast type* Working Breakfast – Attendees will eat in main session room. Non-Working Breakfast – Attendees will eat in a separate meal room. Select lunch type* Working Lunch – Attendees will eat in main session room. Non-Working Lunch – Attendees will eat in a separate meal room. Select dinner type* Private Space Preferred Table in General Dining Room is Acceptable Preferred Location(s)* I understand that it is my responsibility to collect dietary restrictions from anticipated attendees and communicate any noted restrictions to the assigned Meeting Planner.* I understand that it is my responsibility to collect dietary restrictions from anticipated attendees and communicate any noted restrictions to the assigned Meeting Planner.*Meeting CollateralPlease select the meeting collateral you would like provided Name Badges Tent Cards PowerPoint Template Directional Signage Formal Agenda Other If other, please specify*Travel/Ground TransportationWill the group require formal shuttle transfers? Yes No If Yes, Please provide a brief description of the required transfers*Please share any additional information you would like to note as part of this meeting requestI understand that I’m not permitted to move forward with this meeting until the request has been reviewed and approved by Kelly Quick, Sr. Director – Integration Management.* I understand that I’m not permitted to move forward with this meeting until the request has been reviewed and approved by Kelly Quick, Sr. Director – Integration Management.*