California State University, Fresno
Off-Campus Event, Form 1/CSU Executive Order 1062
OFF-CAMPUS EVENT NOTIFICATION AND APPROVAL FORM
Today’s Date _______________
Contact Person: ___________________________ Ext:_____________ Em
ail:____________________________
Off-Campus Event is Being Organized by:
College/School, Department, Program
Name of Instructor/Event Leader: ________________________________________________________________
Off-Campus Event Details:
Course Number: ______________ Title: __________________________________________________________
Participation is: Required (for the class/degree/graduation) ________ Voluntary/Extra Credit ________
Off-Campus Event Name:
Date(s) of Activity – from: _________ to: _________ Time of Departure: ________ Time of Return:
Travel Destination/Area (i.e. city, county, state, country, campground, etc.):
Transportation Methods
Note: Event leaders and organizers are strongly encouraged NOT to organize transportation to the off-campus site for
students, but rather to encourage students to self-organize. In cases where transportation is provided on behalf of students
they shall do so in compliance with all existing campus and University travel policies and requirements.
Meet at E
vent ____ State Vehicle* ____ Rental vehicle* ____ Private Vehicle* ____ Public Transportation ____
* All Off-Campus Event drivers driving state vehicles, or rental and/or private vehicles involving expenses funded by the
University must be authorized state drivers. Authorized state drivers have met University approval through the University
Driving Authorization process. Call the Office of Environmental Health and Safety and Risk Management for assistance at
(559) 278-7422 or go to www.fresnostate.edu/ehs
and search for “Driving on State Business”.
Describe in detail the activities to be undertaken, identified potential risks and injuries that might result
(attach additional pages as needed):
Signature, Off-Campus Event Leader
Signature, Chair/Dean/VP or designee
____________________________________________________________________________________
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