EL CAMINO COLLEGE DIVISION/DEPARTMENT
CALENDAR DATE REQUEST FORM
FOR THE ACTIVITIES CENTER AND LIBRARY LAWN
STEP1:Requestor contacts Student Development Office x3455 for availability of facility, lawn area, south pao, and outdoor stage.
STEP2:Requestor completes this Calendar Date Request Form and obtains their director’s or dean’s signature.
STEP3:Requestor sends the completed form to Student Development Office for processing at least two weeks in advance of the event
(completed forms may be scanned and emailed to mbaquir@elcamino.edu). A copy will be returned to the requestor.
STEP4:Requestorsubmitsaworkorderforroomarrangementsusingthe FaciliesWorkOrdersystemontheportal.
Division/Department Name: _________________________________________________________________________
Requestor’s Name: ________________________________________ Extension: ______________________________
Email Address: ____________________________________________________________________________________
Requestor’sDean/DirectorSignature: ________________________________________________________________
LOCATION(S)REQUESTED:
___ EAST LOUNGE
___ SOUTH PATIO
___ LIBRARY LAWN
___ OUTDOOR STAGE
DATE OF EVENT
(exact date of use)
TIME
(exact hours of use)
TYPE OF EVENT
(one event per requision)
Expected aendance: ______________
Will public be aending?
__ No __ Yes
Event start me: __________________
Early access me: __________________
Will amplified sound be used?
__ No __ Yes*
*
AmplifiedsoundallowedoutdoorsonTuesdaysandThursdays,1‐2p.m.only.
*YOUMUSTCONTACTMEDIASERVICES(x6712)TOHAVEASOUNDSYSTEMSETUP.
Will food be served? ___ No __ Yes*
*
SubmitaFoodConcessionApproval formUNLESSfoodisservedorprovidedby
CampusFoodservicesInc.
NOTE:ITISTHEREQUESTOR’SRESPONIBILITYTO…
1. Submit Facilies Work Orders for all event set ups and/or room arrangements.
2. Contact Campus Police to have the facility unlocked and relocked for weekend or late night events.
3. Take down all decoraons and put trash in proper receptacles at the conclusion of the event.
4. Request Media Services set up all audio/visual equipment.
5. Request and pay for overme for custodial personnel to clean up aer any event ending aer building closing me, if deemed
necessary by the Director of Student Development. An account number will be requested by the Student Development Office and
provided to Facilies Planning & Services for overme billing.
6. Request and pay for overme for Campus Police personnel to provide security for an event, if deemed necessary by the Director of
Student Development. An account number will be requested by the Student Development Office and provided to Campus Police for
overme billing.
FORSTUDENTDEVELOPMENTOFFICEUSEONLY
APPROVED
NOT APPROVED
____________________________________ ________________
Director of Student Development Date
Date Received: ______________
Staff Name: _________________
Account number for OT Custodial Services: _____________________________________________________________________
Account number for OT Campus Police Services: _________________________________________________________________
Distribuon: Student Development Office, Requestor, and Campus Police
Revised 8/2016 MLB
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