ASMP Zoom Event Request Form

Chapter*

Host's Name*

Host's Email Address*

Does your team need Zoom tutorial?*

Yes
No

If you answered yes, please provide a preferred date and time for the tutorial.

If you answered yes, please provide a second preferred date and time for the tutorial in case the first is not available.

Event Details

Type of Event*

Meeting
Webinar

Event Topic*

Event Description*

How many attendees to you anticipate?*

A Note Regarding Scheduling and Start Times: Events are scheduled on a “first come, first served” basis. If your first date/time are already booked, we will attempt to schedule the event using your second choice. “Start time” is the time you want your attendees to arrive. ASMP will add 30 minute bumpers to the front (for pre-pro) and back (in case the event runs long) of your event.

Date of Event - First Choice*

Event Start Time - First Choice (Be sure to include time zone!)*

Date of Event - Second Choice*

Event Start Time - Second Choice (Be sure to include time zone!)*

Event Duration (Enter as :minutes or hours:minutes. Examples– :15, :30, 1:00, 1:30, etc.)*

Recurrence (Is this an event that will occur regularly?)*

Yes
No

If this is a recurring meeting, what is the recurrence?

Daily
Weekly
Monthly
No Fixed Time

If this is a recurring meeting, how often should it repeat? ("Every day/week/month" OR "Every month until April" OR "Weekly through July")

Do you want to require registration for this event?*

Yes
No

Custom Questions: These are questions you’d like to ask of your registrants when they sign up for the event. Questions can be short answer or multiple choice and can be optional or required. By default, registrants are asked if they are members of ASMP and if they have questions for the Host or, if the event is a Webinar, the Panelist(s). If you'd like to add one or two custom questions in addition to these default questions please enter that text here.

Custom Question One

Is Custom Question One optional or required?

Optional
Required

Custom Question Two

Is Custom Question Two optional or required?

Optional
Required

The ASMP logo will appear at the top of the registration page. If there is a second logo you'd like to appear on the page, please upload it here. JPG or PNG only. Minimum dimensions 200px by 200px. Maximum dimensions 400px by 400px.

If event is a Meeting, you're done! Please scroll down to the bottom of this form. We have one additional question before you click the “submit” button.

If event is a Webinar, please continue to the questions below before submitting.

Header Image for ASMP Website (1024 × 681 @ 72dpi, JPG or PNG))

Q&A windows are standard for Webinars. Do you want a Q&A window to be available where Attendees can post questions separate from the Chat window?

Yes
No

Webinar Invited Panelists: Zoomspeak for speakers or guests. A Panelist is anyone who is seen & heard during your Webinar.

First Invited Panelist's Name

First Last Suffix

First Invited Panelist's Email Address

Second Invited Panelist's Name

First Last Suffix

Second Invited Panelist's Email Address

Third Invited Panelist's Name

First Last Suffix

Third Invited Panelist's Email Address

Approval Options

Would you like to charge an admission fee to all registrants through PayPal?

Yes
No

More on Invited Panelists:

First Panelist

First Invited Panelist Headshot (FILE NAME MUST BE THE NAME OF THE FIRST PANELIST. Size MUST be 400x400px @72dpi JPG or PNG)

First Invited Panelist's Position

First Invited Panelist's Organization

First Invited Panelist's Bio

First Invited Panelist's Social Media Handles (Please indicate which platform and separate entries with commas.)

Do you want this panelist's email address to appear in their bio on the Event Registration Page?

Yes
No

Second Panelist

Second Invited Panelist Headshot (First Invited Panelist Headshot (FILE NAME MUST BE THE NAME OF THE SECOND PANELIST. Size MUST be 400x400px @72dpi JPG or PNG)

Second Invited Panelist's Position

Second Invited Panelist's Organization

Second Invited Panelist's Bio

Second Invited Panelist's Social Media Handles (First Invited Panelist's Social Media Handles (Please indicate which platform and separate entries with commas.)

Do you want this panelist's email address to appear in their bio on the Event Registration Page?

Yes
No

Third Panelist

Third Invited Panelist Headshot (First Invited Panelist Headshot (FILE NAME MUST BE THE NAME OF THE THIRD PANELIST. Size MUST be 400x400px @72dpi JPG or PNG)

Third Invited Panelist's Position

Third Invited Panelist's Organization

Third Invited Panelist's Bio

Third Invited Panelist's Social Media Handles (First Invited Panelist's Social Media Handles (Please indicate which platform and separate entriies with commas.))

Do you want this panelist's email address to appear in their bio on the Event Registration Page?

Yes
No

Email Follow Ups: Zoom can automatically send out two email follow ups per Webinar. One goes to Attendees and thanks them for attending. The other goes to Absentees (individuals who registered but did not attend) and includes language like, “Thank you for registering. We’re sorry we missed you.” Both emails have a link to ASMP’s Legal/Advocacy Fund. If you’d like to include additional text within either of these emails, please enter that text here.

Follow Up Email Text for Attendees

Follow Up Email Text for Absentees

ASMP Zoom Event Request Form