|
Requestor Information
|
| * Name of Organization requesting Security: |
* Name of person requesting Security: |
|
* Account Number:
|
| * Requestor Phone: |
* Requestor E-mail: |
| Campus Box Number: |
|
| Secondary Contact Person Information |
| * Name of secondary contact: |
* Secondary Contact Phone: |
| * Secondary Contact E-mail: |
* Secondary Campus Box Number: |
|
* Advisor's Name: * Advisor's e-mail:
All programs must have the authorization of the student organization's advisor.
|
| Facility Reserved |
| * Date of Event: |
* Confirmed Location: |
| * Event Start Time: |
* Event End Time: |
| Event Worksheet |
| * Event Title: |
| * Expected Attendance: |
|
* Please Describe Your Event:
|
|
* Type of Event (please check at least one ):
meeting guest speaker presentation dance party experience event reception/banquet
other (please describe in the following space)
|
In order to prevent spambots from abusing this form, please enter the fourth letter in the College logo
at the top left of this page: * (please use lower case) |
|
|
