Fillable CRO Third Party Involvement Form

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CRO Third Party Involvement Form

On average this form takes 9 minutes to complete

The CRO Third Party Involvement Form form is 2 pages long and contains:

2 signatures
7 check-boxes
23 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Central Connecticut State University

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Created by Central Connecticut State University Business Services July 2019

CCSU EVENT REQUEST FORM

To be completed for any event with any third party (non CCSU) involvement and/ or any generation of revenue

(i.e. charge admission/donations).

Requestor Name:

Phone: E-mail:

Employer/Organization:

Organization(s) involved the event (select all that apply):

 CSCU  CCSU

 State Government  Local Government

 Non-Profit  For Profit

 Other (please list): ______________________________________________________

Describe the purpose of event, highlighting any nexus to education, research, community service, or provision

of government services:

Please provide any materials pertinent to event.

Is the event a meeting or training?

List/describe any third party involved with the event.

Attendee type

Estimated # Attendees

How much will be

charged to Attendees?

CCSU/CSCU Employees

Students

Community

Non CCSU Employer

How many days are you requesting the room rental?

Will CCSU receive any percentage of revenue or profit generated? If yes, please describe.

Signature Date

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signature

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