Submit An Event

Current General Information
Audience
Digital Assets
Complete

Welcome to the Department of Anesthesiology & Pain Medicine's event request form. Our team is here to assist you in planning and executing your upcoming event. To ensure a successful event, please complete this survey to provide us with some details.

Please enter your name

First

Last

Please enter your email*

Multiple email addresses may be separated by commas. Emails are only sent to cc and bcc addresses if a To email address is provided.

Who should be contacted for more information about the event?

What is the title of your event?*

What is the proposed date and time for the event? *

What is the proposed date and time for the event? : Date*

What is the proposed date and time for the event? : Time*

If there is no specified time, please enter midnight (12:00AM).

Are there any alternative dates you can consider for the event?

Are there any alternative dates you can consider for the event?: Date

Are there any alternative dates you can consider for the event?: Time

Does your event coincide with major religious holiday's or significant cultural observances?*

Yes

Please refer to the following document provided by UofT to check if there are any conflicts: CLICK HERE

Is this an in-person, hybrid or virtual event?

In-person

Virtual

Hybrid

Other…

Enter other…

If the event is to be held over Zoom, do you need administrative support from the department to manage the event?

Yes