Admissions Event Request | National Holistic Institute

How many days are in your event?*

Event Date*

Enter the event date using the following format. Day of the week, Month Date, Year = Sunday, January 1, 2023

Event Day*

Please ensure this corresponds with the Event Date.

Event Start Time*

:

Event End Time*

:

FIRST Event Date of Multiple-Day Event*

First Event Day*

Please ensure this corresponds with the First Event Date.

First Event Date Start Time*

:

First Event Date End Time*

:

SECOND Event Date of Multiple-Day Event*

Second Event Day*

Please ensure this corresponds with the Second Event Date.

Second Event Date Start Time*

:

Second Event Date End Time*

:

THIRD Event Date of Multiple-Day Event*

Third Event Day*

Please ensure this corresponds with the Third Event Date.

Third Event Date Start Time*

:

Third Event Date End Time*

:

FOURTH Event Date of Multiple-Day Event*

Fourth Event Day*

Please ensure this corresponds with the Fourth Event Date.

Fourth Event Date Start Time*

:

Fourth Event Date End Time*

:

FIFTH Event Date of Multiple-Day Event*

Fifth Event Day*

Please ensure this corresponds with the Fifth Event Date.

Fifth Event Date Start Time*

:

Fifth Event Date End Time*

:

Event Name*

Program*

Staff Needed (select all that apply)*

Admissions
Financial Aid
Teachers
SLCCs

Campus*

Multiple Campuses (select all that apply)*

Emeryville Campus Address

Clovis Campus Address

Modesto Campus Address

Ontario Campus Address

Redding Campus Address

Sacramento Campus Address

San Jose Campus Address

Santa Ana Campus Address

Santa Rosa Campus Address

Studio City Campus Address

Event Format*

Your Name*

First Last

Your Email*

Event Description*

Special Offer/Promotion?*

Yes
No

Special Offer/Promotion Description*

Example: Enroll in and upcoming class and receive...

Do you have any files to attach?*

Yes
No

Example: photo(s), blog post copy, flyers

Attached File(s)*

Drop files here or

Accepted file types: jpg, jpeg, gif, tiff, png, heic, pdf, doc, docx, Max. file size: 20 MB.

Notes for STAFF ONLY (if applicable)

Example: Zoom link or other staff specific details. This info WILL NOT be posted to the public.

Event Request Form