Student Organization Activity Request

For Use by Student Organizations Only

Submit at least two weeks prior to event

Sponsoring Organization:*

Student Contact:*

Phone:*
E-mail:*

Arrangements for Food Service and Audio Visual must be made with appropriate department. Sponsoring groups must assume liability for damage, injury, or defacement, and enforce Student Code and University Ordinanes

Activity Type:*



Date of Activity:

If additional dates are required, please list all dates:

Description of Event:

Type of Event:

Location (one form per location):*

If requesting the University Center:

The University Center provides some audio visual equipment free of charge to student organizations. Audio visual equipment required elsewhere, or not provided by the UC must be requested through the Audio Visual Department, 227-2913, at least two weeks in advance.

Additional Equipment Needed (University Center requests only):

Set-up Desired - block, u-shape, theater, chairs only, staging, dance floor, etc (University Center requests only):

Start Time:
End Time:

Access Required By:

Expected Attendance:

Admission Charge: