UNIVERSITY OF HAWAII AT HILO
APPLICATION FOR FACILITY USE
Organization
Control No.
Facility Requested
Address
Person in Charge
Phone:
Residence
Business
Date of Event
Estimated Attendance
From: To:
Time of Event
Business
Check box which describes your group: Event will be open to:
Other
Faculty, Staff, Students, Regents, UHH
UHH Organizations
Registered Student (group), UHH
General Public
University community
Membership Only
By Invitation
Answer the Following:
1. Will their be an admission charge or donation?
Yes No
Yes No
Yes No
Disapproved
Approved
Yes No
2. Will food be served?
3. Will liquor be served?
4. Will there be any special equipment (scoreboard, AV, etc.) ?
5. I have read the conditions for use stated on the reverse and understand University reserves the right to
change the facility/room assignment and to withdraw the privilege of using premises if conditions for use are
not observed.
Signature of Requestor Date:
Date:By
Remarks (Special Requirements):
Security
Sound Equipment
Visual Material
Etc.
Received by Check No. Date Paid
Fees: Amount:
=============================================================================================
