Wildlife Education Division Event Request Event requests may be submitted 6 months prior to event. All applications will be reviewed 60 days prior to event date. Indicates required field Name First Name Last Name Job Title Organization Phone Email Name of Event Event Start Date Event End Date Event Start Time Event End Time For multiple-day events, please give opening and closing times for each day. Event Location Street Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code Which specific WRC program or area of work are you requesting to attend? Please check all that apply. Boater Education Fishing Education Public Safety/Law Enforcement Wildlife Identification Archery/Pellet Range Biologist Presentation Hunter Education BearWise/Species Specific Presentation Other… Enter other… What is the purpose of this event? Why should NCWRC attend your event? Describe the format of the event. For example, will it be fair style (people walk up when interested), presentation style (talk from stage/front of room), or rotations (groups move from booth to booth)? If there will be rotations, how many rotations? Approximate group size per rotation What is the projected attendance number? Who is sponsoring the event? What is the admittance or registration fee for event attendees? If fees are involved, who is benefitting? What are the following fees and are they waived for Commission employees? Parking Fees Parking Fees Waived Admittance Fees Admittance Fees Waived Booth Space Fees Booth Space Fees Waived Electricity Use Fees Electricity Use Fees Waived What do we need to provide for the event? (For example: a table, our own chair, a tent, etc.) Inclement Weather Policy Rain Cancelled Rescheduled Other… Enter other… Rain Rescheduled Date(s) Snow/Sleet/Ice Cancelled Rescheduled Other… Enter other… Snow/Sleet/Ice Rescheduled Date(s) Hurricane Cancelled Rescheduled Other… Enter other… Hurricane Rescheduled Date(s) Who is the intended audience of your event? If you have reached out to or had contact with a Wildlife Resources Commission employee regarding this event request, please list their name below. Employee's First Name Employee's Last Name I acknowledge that event requests are filled based on NCWRC priorities and goals. An incomplete form or lack of information means that your form will not be reviewed. Forms received within 30 days of an requested event will not be reviewed. Type your name for your signature Today's Date
