Club Activities Approval Form

Organization's Name

Name of Student Responsible

Activity Title

Date of Activity

Time of Activity: 00:00 a.m./p.m.

Preferred Location of Activity

Description of Activity

Advisor's Name

Advisor's Phone Number

Advisor's Email

Please check all forms needed

Request for facility use

Work order Request

Audio/visual equipment request

Cash box request

Request to conduct off-campus fundraising/raffle solicitation

Personal service contract and W9

Request for Facility Use

Desired event location

Aquatic Center

Athletic Facilities

Board Room

Board Conference Room

Bob Scott Room

Student Union Lounge

Council Chambers

Courtyard (undercover)

Fire Pit

Jazz Café

Lower Level Lawn

Main Mall (in front of bookstore)

Multimedia Classroom

Non-Multimedia Classroom

Town and Gown

Vista Dining

Visual Arts Theatre

Other

Event Information

Is this event recurring?

Yes

End Date of recurring event (if recurring)

Total time of use (day/time)

Actual event hours

Begin Setup Time

Performers Arrival Time

Clearance Authorization

Please list names of individuals who will be responsible for calling Public Safety for unlocking (if event is being held outside of campus business hours).

Last Name, First Name, Student or College Employee?

Work Order Request

Please review the list below and indicate the items and quantity you need for your activity

8' Tables

6' Tables

Chairs

Garbage Cans

Podium

16' x 32' Stage

Other Size Stage

Electricity for main mall (can be placed by cosmetology or bookstore)

Other

Please describe where requested items are to be placed

When do you need to have this set-up complete?

Activity Approval Form