Side Events Request Form
United Nations General Assembly
Special Session on HIV/AIDS
25-27 June 2001
This form is to be used for requesting a Side Event within the United Nations Building and immediate vicinity (side events can refer to workshops, panel presentations, affinity group, or caucas meeitngs).
They are open only to those civil sosciety organisations that have accreditation to the UNGASS on HIV/AIDS Due to limited space, we cannot guarantee that all requests will be honored.
Please be advised that the UN may amend or cancel side events, due to security considerations
PLEASE PRINT
I. Name and Country of Primary Sponsor Organization
:____________________________________Name/Country of Co-sponsoring Organizations______________________________________
_____________________________________________________________________________
Primary Contact Person: _________________________________________________________
Telephone: ________________Fax: ________________ E-Mail: _____________________
II. Broad topic area of Side Event
___ Prevention and Care ___ Social and Economic Impact
___ Human Rights ___ Global Leadership and Funding
___ Gender ___ Youth
___ Other: ____________________
III. Title of Side Event: __________________________________________________________________________
Description : _______________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
IV. Duration of event (circle one): 30 minutes 90 minutes 120 minutes other: _______
V. Expected number of participants (circle one): <70 70-200 200+
Please note – all partipants and panellists must have accreditation to the UNGASS on HIV/AIDS.
3 Rooms are available within the UN Building itself
- one housing up to 70 participants (without microphones, and no translation available)
- one housing up to 200 participants (with microphones, but no translation)
- one housing up 500 - 800 participants (microphones and translation available – see below)
Technical equipment and translation services must be paid for by your Civil Society Organisation separately. Information will be provided individually, and you will be billed for these services.
VI. Preferred date Time Slot
Please Indicate First Choice
Thursday, 21 June _______________ Early Morning: (7:30-8.45) ______________
Friday, 22 June _________________ Morning: (9:00 – 11:00) ________________
Monday, 25 June_________________ Late Morning: (11:30 -1:00pm) ____________
Midday: (1:30- 3:00 pm) __________________
Afternoon: (3:30-5:00 pm) ________________
Tuesday, 26 June __________________ Evening: (5:30-7:00pm) __________________
Wednesday, 27 June _______________ Late Evening: (7:30 – 9:00 pm)______________
Second choice: __________________ Date: ________ Time: _____________
Third choice: ____________________ Date: ________ Time: ______________
Signed by: ____________________ Date: ____________
(Authorized representative of requesting organizations)
Please return to Ben Plumley at UNAIDS by fax 212-824 6493 or email to plumleyb@unaids.org by Sunday 10 June 2001. The request will be reviewed and you will receive a response as soon as possible.