For$Office$Use$
Received!By:!_____________________!Date!&!Time:!!______________!Confirmation!Emailed!On:!_____________!
Additional!Notes:!!______________________________________________________________________________!
Production!Meeting!Date:!!________________________________________________________________!!!!!!!8/17!
Event$Services$Request$Form$
Please$Note:!!This!is!only!a!request!and!not!a!contract!for!your!space.!!If!your!request!is!approved,!a!reservation!
confirmation!will!be!emailed!to!you,!and!production!meetings!will!be!setup!to!make!adequate!plans.!
Student$Organizations:!!After!booking!the!space!for!your!large!event,!ple a s e !g o !to !https://niu.collegiatelink.net/!
to!fill!out!a!Huskie!Link! Event!Submission!form!with!the!complete!details!of!your!event.!!A!mandatory!Production!
Meeting!with!HSC!staff!is!required!one!week!prior!to!large!student!events!hosted!in!the!HSC.!
Policies:$$The!Holmes!Student!Center!Policies!and$Procedures!are!posted!on!our!website!for!your!review .!All!
clients!will!be!held!accountable!to!those!policies.!Please!direct!any!questions!or!concerns!to!HSC!management.!!
Fees!may!apply!for!services,!same!day!requests ,!and!no!shows.!!
_____________________________________________________________________________________________!
By!signing!this!document,!I!acknowledge!tha t!I!h ave!read!and!fully!understand!all!Holmes!Student!Center,!On!
Campus!Social!Event,!and!Eve n ts !a n d !Confer e n c e !S e rv ic es!Policies!and!agree!to!hold!my!group!accountable!to!
them!wh ile!utilizing!spac e!on!Campus.!!!
Signature:$______________________________________________________$Today’s$Date:$_________________$
Organization/Department$
Name$
Position$Title$
Phone$
Email!
AR/Cost$Center$#$
#$of$People$Attending$
Event/Activity$Name$
Will$you$be$selling$tickets$to$this$event?$
Yes$$$$$$$$$$$$$$$$$$$No$
Date$of$Event$$$
Start$Time$
End$Time$
Set$Up$By$Time!
Event$Budget$
Event$Estimate$
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