TIC Program Council Comprehensive Program Form

Today's Date*

Your Name*

First Last

Your Phone*

Your Email*

Program Information

Program Name*

Program Goal(s)*

Department/Committee Overseeing the Program*

Target Audience (age range)*

Is this a new TIC program?*

Yes
No

Please indicate your program's timing*

One Time
Recurs Weekly
Recurs Monthly
Other

Requested Date of Program*

Specify the dates your event will take place, including the start date*

Ex: Starts Wednesday, December 21; recurs every Wednesday until June 4. Starts Friday, January 12, occurs every 3rd Friday monthly.

Program Start Time*

HH :

MM

Program End Time*

HH :

MM

Anticipated Program Expense*

What is the GL code for the expense for this program? (Type NA if there is none.)*

Do you anticipate charging for this program?*

Yes
No

What is the GL code for the revenue for this program?*

Format of Program*

In-Person
Virtual
Both

In-Person COVID-19 Screener Information

Please note: For all in-person programs, a COVID-19 screener will need to be sent a few days before the event date to each person attending.
For committees, Beth Levick and Sue Safir will work with you on this aspect of your program.
For staff, please contact Beth Levick to discuss how to go about setting up this process.

Room Set-Up

Please email a sketch of requested room layout to Beth Levick, Director of Programming and Membership.

Which room(s) will you be using? Please be specific.*

Number of Chairs Needed*

Number, Shape and Size of Tables Needed*

Ex. Four 60' round; Two 6' rectangle.

To be completed by Business Office: Number of Security Guards Needed

The Business Office will complete this field. Please leave this blank.

Audio Visual Needs

Which of the following will you need for your program?*

Check all that apply.

Conference Phone
Projector
Projector Screen
Laptop
Microphone(s)
Speaker(s)
Easel(s)
Lectern(s)
Other

Do you need TIC to provide you with a zoom link?

Yes
No

Which of the following will you need for your program?*

Check all that apply.

How many microphones do you need?*

How many easels do you need?*

How many lecterns do you need?*

Please specify your Audio/Visual needs*

Will an outside vendor be onsite for this program?

Yes
No
Unsure

Do you have their Certificate of Occupancy insurance?

Yes
No

Please be sure to obtain any on-site vendor's Certificate of Occupancy Insurance and send it to Beth Levick.

Food and Beverage

Please note: All food must be kosher certified. If you have a question about a particular certification, please contact Rabbi Annie Tucker.

Will food or beverages be served?

Yes
No

Please list food type.*

Please list caterer.*

Please list kosher certification.*

Please list quantity.*

Please list delivery date & time.*

Time can be an approximate range. Ex: 3:00 pm-5:00 pm

Communications Needs

Please check off each communications-type requested.*

Check all that apply.

Logo Design for a group, event or committee (please submit requests 10 days before the logo is needed).
Weekly Monday community email (submit final text and graphics by Tuesday 9:30 am for that week's Monday email).
Weekly Kabbalat Shabbat email (submit final text and graphics by Tuesday 9:30 am for distribution in that week’s Kabbalat Shabbat email).
Dedicated Email (submit text 3 days before email is due to be sent).
TIC Website (submit request 5 days before posting is needed).
Registration Form (submit request and final text 7 days before registration form is needed. Please include the email address to which registration responses should be sent).
Hadashot (deadlines vary and are emailed each quarter).
Specific brochure or program guide (subject to approval; submit final text 3 weeks before date when printed brochure is needed).
Social Media publicity (TIC Facebook and Instagram accounts)

If you have it ready, please share the proposed text for communication. If there is a particular graphic that you interested in using, please note that as well.

Is the above text finalized? (Please note: text is subject to approval by the TIC Communications team.)

Yes
No

Please make sure to follow the deadlines listed above to submit your final text.

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