Alumni Weekend - Event Form
Name
Name
*
First
Last
Email Address
*
Phone
*
Affiliation to Xavier
Affiliation to Xavier
Faculty/Staff
Alumni
Other
Event Name
*
Event Date
Event Date
*
/
MM
/
DD
YYYY
Event Time
Event Time
*
:
HH
MM
AM
PM
AM/PM
Event Description
*
Event Location
Event Address
Event Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Would you like us to take online reservations for the event?
Would you like us to take online reservations for the event?
Yes
No
Will there be a cost to attend?
Will there be a cost to attend?
Yes
No
Will you need support with communications/promotions for the event?
Will you need support with communications/promotions for the event?
Yes
No
What other support will you need from the Alumni Relations office?
Date
Date
/
MM
/
DD
YYYY
Date
Date
/
MM
/
DD
YYYY