COVID Event Guidance Form - Business Office

Name of person filling out form:*

First Last

Event host name:*

First Last

Title of gathering:*

Sponsoring department:*

In person gathering date:*

Location*

Building Room Number

Start time:*

: HH

MM

End time:*

: HH

MM

Number of attendees:*

Event description

Department Acknowledges Policy Links and Virtual Formats:*

Department Has Reviewed the Links Below

As Event Host/Sponsoring Department, I have reviewed and agree to Follow campus policy, the PHMDC Current Order, and CDC guidelines.

Whenever possible, it is recommended that on-line/virtual event formats are utilized to minimize traffic and density on and around campus.

It is highly recommended that, where technology permits, all events are designed to allow for attendees to participate virtually if they choose not to or are unable to participate in person.*

Department Acknowledges

Event size: 113 SF per person and up to 50 indoors or up to 150 outdoors. Attendance will be limited to the venue’s capacity which is adjusted for 6 feet of physical distancing per attendee.*

Yes
No

Provide, and require attendees to use as appropriate, face coverings, hand sanitizer and cleaning supplies at each event.*

Yes
No

The event host must collect the following information from all attendees and maintain these records for at least four weeks: name, e-mail, primary phone number, and current address.*

Yes
No

Register attendees and take attendance through an electronic or manual system, unless the event is an internal meeting for which registration is not required. The university has not adopted a specific platform but there are several available options for registration and attendance tracking. Contact an events or conference scheduling unit within your school/college/division/department for assistance.

Communicate with potential attendees: the event safety measures; expectations of health related behaviors; and the reporting mechanism for non-compliance by those event hosts or those attending.*

Yes
No

Event hosts are to check that attendees have a Badger Badge that indicates a green “Building Access Granted” status. Email vcsa@studentaffairs.wisc.edu to request Badger Badge training materials.*

Yes
No

Food and Beverages will not be provided at any event.*

Department Acknowledges