Special Events

Environmental Health and SafetySpecial Events

This form is used to certify events hosted by Hunter College faculty or staff, taking place on campus, in order to ensure that all guidance from Federal, State, City and CUNY entities is being followed for the safety of all participants.

Please submit at least two weeks prior to your scheduled event.

CONTACT INFORMATION
Contact Name Contact Name First Last
School or Department
Email
EVENT INFORMATION DETAILS
Event Name
Event Purpose
Event Date Event Date / MM / DD YYYY
Location of Event
Please specify here if chose "other" for location of event
Estimated Start Time Estimated Start Time : HH MM AM/PM
Estimated End Time Estimated End Time : HH MM AM/PM
Type of Event
Please list if chose "other" for type of event
RESPONSIBLE PARTY

The responsible party is the person on-site for the event. This person is responsible for ensuring the event complies with Hunter’s General Safety Guidelines. This may be the same as the requester listed above.
Name Name First Last
Email
Cell Number Cell Number - ### - ### ####
EVENT INFORMATION

Provide a rationale for special event.
Provide a list of event program participants (speakers, special guests)
Provide preliminary ROS for event
RISK MITIGATION
I have read and will comply with the most current documents available at hunter.cuny.edu/fof:

I have read and will comply with the most current documents available at hunter.cuny.edu/fof: Special Events: https://hunter.cuny.edu/focus-on-campus/special-events/ Proof of Vaccination

In order to host an special event, please affirm that you understand and will implement Hunter protocols for the following items when in common areas:
	I Affirm
Personal Protective Equipment (when necessary)	Personal Protective Equipment (when necessary)I Affirm
Proof of Vaccination	Proof of VaccinationI Affirm
Hygiene, Cleaning, and Disinfection	Hygiene, Cleaning, and DisinfectionI Affirm
Communication Plan for attendees	Communication Plan for attendeesI Affirm
Limiting Capacity (when necessary)	Limiting Capacity (when necessary)I Affirm

Entry and Exiting building: Please provide a description of your strategy for achieving safe entry and exiting for all attendees.
Personal Protective Equipment (PPE) Plan: Provide a description of how you will carry extra masks if participants show up without one and are required to wear a mask.
Cleaning and Disinfection Plan: Provide a description of how you will maintain a clean environment throughout the event. This might include working with facilities to hire additional personnel, having hand sanitizer available at all times, wiping down shared surfaces with anti-bacterial wipes, etc.
Communication Plan for Attendees: Describe the plan to ensure that participants are informed about health screening protocols and that they adhere to requirements for face coverings, social distancing, proof of vaccination/negative covid test and hand hygiene.
Limiting Capacity: How will you ensure you are limiting the capacity for the event, if necessary?
HIGH RISK ACTIVITIES
This event will NOT include any high risk activities such as eating, drinking, singing, dancing, and use of musical instruments.
If high risk activities are involved, please explain protocols to minimize risks.
ATTESTATION
I understand that I am accountable for maintaining the safety standards in accordance with current recommendations. By submitting this form, I agree to follow NYS, CUNY, and Hunter College’s guidelines and procedures.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Name Name First Last
Date Date / MM / DD YYYY

Special Events

Environmental Health and SafetySpecial Events

CONTACT INFORMATION

EVENT INFORMATION DETAILS

RESPONSIBLE PARTY

EVENT INFORMATION

RISK MITIGATION

HIGH RISK ACTIVITIES

ATTESTATION