Contact Information

Group Name*

First Name*

Last Name*

Institution*

Meeting Details

Client IDOptional

Email Address*

Phone Number*

Date of BUG Event*

Location*

Event Type*

Projected number of attendees?*

If other, please insert below

Would you like for Blackboard to provide your members with a product or company update?GUI Administrator Certification for Course DeliveryGUI Administrator Certification for Community EngagementGUI Administrator Certification for Content ManagementServer Administrator Certification for Course Delivery (Redhat Linux/Solaris Unix OS)Server Administrator Certification for Course Delivery (Windows OS)Server Administrator Certification for Course Delivery (Remote Delivery)

If so, what sort of information would you like Blackboard to share?

What is the goal of the event?*(Ex. Bring together instructional designers to discuss strategies for best leveraging their Blackboard technology.)

Do you plan to have a call for proposals?GUI Administrator Certification for Course DeliveryGUI Administrator Certification for Community EngagementGUI Administrator Certification for Content ManagementServer Administrator Certification for Course Delivery (Redhat Linux/Solaris Unix OS)Server Administrator Certification for Course Delivery (Windows OS)Server Administrator Certification for Course Delivery (Remote Delivery)

If so, when what are your open and close dates?

What type of content do you hope to share with attendees?*

If other, please insert below

Would you like our help in promoting the event?*

Do you plan to supplement the event(s) above with other monthly or quarterly events?*If yes, you will be redirected for more information after submission

If Yes, please share the proposed date, location and type of events planned.

Funding

Amount of funding requested*

Is this the same or more than last year?*

If not, why is it more?

What is the funding for?*Please be specific

Please detail the sponsorship opportunities available for vendors at your event?*

What sort of items will attendees receive by attending your event?*Example...bags, giveaways, etc.

Confirm the address you’d like your payment mailed to.*

Does your payment need to arrive by a specific day?*

What is the date your payment needs to arrive by?*

Blackboard Partners

Are you interested in having any of our partners participate in your event?*

If so, which ones?

Do you have an existing relationship with any of these partners?*

Will you have a dedicated Exhibitor Area at your event?*

Would you like a member of our Partnership team to follow up with you?*

Post Event Survey

How will you follow up with attendees after your event?*

Will you conduct a post-event survey?*

Is there anything else you’d like us to know?

Congratulations on planning an upcoming Blackboard User Group event! We’re happy to help sponsor or support your BUG conferences and meetings.

To request sponsorship or to submit a speaker request, please submit this form at least 3 months prior to your event. Submitting a request within 3 months of your event can result in your request being denied or your payment delayed.

If you have any questions, please contact the Community Programs team at community@blackboard.com.