AMERICA HOUSE PARTNER EVENT FORM

America House Kyiv Partner Event Form
Organization you represent*
Contact person responsible*

First NameLast Name
Contact person phone*

CountryCodeNumber
Email address*
example@example.com
Event title*
Event description*

0/10000
Speakers*
Any change in the speaker list must be approved by AHK in advance. Speakers not pre-approved will not be given a platform for formal presentation at AHK.
Event format
Example: panel discussion, presentation, workshop...
Event date*

ДеньМесяцГод
America House is open Tuesday-Friday, 12:00p.m. - 9:00p.m., Saturday, 10:00a.m. - 6:00p.m.
Event start time*

:HourMinuteAM/PM Option
Event end time*

:HourMinuteAM/PM Option
Target audience*
Example: students, young professionals, entrepreneurs...
Anticipated number of participants*
Room preference*
Room setup*
Event working language*

EnglishUkrainianOther
Will translation be provided?*

YesNo
What type of translation will be provided?*

SynchronizedConsecutive
Would you like to stream/record this event?*

Streaming on America House Kyiv YouTube channelStreaming on your organization YouTube channelStreaming on your organization Facebook pageRecordingNo online streaming/recording
Link to your organization YouTube channel*
Link to your organization Facebook page*
Do you have a presentation or any other digital materials to show?*

YesNo
Which computer do you want to use for the presentation?*

America House computerI would like to connect my own laptop
Is there any other equipment or supplies you would like to use? Indicate number of items where applicable.
Example: tablets, public laptops, headphones, flip-charts...
Do you plan to arrange catering for this event?*

YesNo
Indicate the catering schedule*
America House Kyiv does not make catering arrangements. To arrange catering, contact: mozartcatering@ukr.net
Who will be allowed to participate?*

Open to the publicInvitation only
Have you participated in a U.S. government exchange program?*
Is your event funded by the U.S. government?*

YesNo
Cost share questions

We would like to count the cost share that our partners bring to America House Kyiv. In order to help us with this, please answer the questions below related to resources that your program is contributing for the event hosted at America House Kyiv.
Indicate # of local speakers. If none, type 0.*
Indicate # of international speakers. If none, type 0.*
Indicate # of interpreters that will do translation during the program. If none, type 0. *
For how many people will you arrange lunch, coffee-breaks or reception before/after the event? If none, type 0.*
List equipment that you will be bringing to America House Kyiv for your program. If none, write “N/A”*
Indicate supplies, significant resources and # of each you will be bringing to America House Kyiv. If none, write “N/A”
For example, handbooks (30), posters (150)...
Event Announcement Form
Since this event will be open to the public, we will publicize it with an announcement on the America House Kyiv website and Facebook page.
Event title for announcement*
Please, keep it short and catchy.
Event announcement text (should be different from event description text)*
Make this text interesting and appealing for your target audience.
Event announcement cover image (size 1200px X 675px).*

Browse Files
A public announcement is also shared on the AHK's Facebook page and website, and the image must be horizontal. Cancelof
Other comments
Should be Empty:

America House Kyiv Partner Event Form

Cost share questions

Event Announcement Form