(FERF)
Distribution: [ ] Event Calendar [ ] FMS [ ] AO Last Updated 7/1/2018
Facility and Equipment Request Form
*Submit to Facilities Reservations – fres@csuchico.edu or Zip 225*
Is this an ORIGINAL Request or an UPDATE ? Today’s Date:
PART I – EVENT INFO - Must be filled out by Requestor
Event Name: Event Date(s):
Facility Requested/Event Location (please indicate if already reserved):
Event Time: to: (Facility Needed: to: )
Brief description of event and envisioned result:
Will any outside vendors/groups participate? No Yes – Vendor/Group Name
Public invited? Yes No Admission Fee? Yes No Fundraiser? Yes No Expected Attendance:
On Campus Requestor: (please complete info)
Requestor: Dept/Group: Ext: Zip:
E-mail: Responsible Party at Event: Cell #:
Student Group or Off Campus Requestor: (please complete info)
Requestor: - Address:
Organization:
E-mail: - Phone:
Responsible Party at Event: Cell #:
What is the funding source for this event? (Completion required to process request)
State Funded (General Fund) State Self Support /Auxiliary Funded (Univ Affiliated) Community/Civic Non-Profit Private/Commercial
Chartfield: Project Object (Non Affiliated) (Non Affiliated)
PART II – EQUIPMENT/SERVICES REQUEST - To be completed if special equipment /services are requested. Please attach instructions/diagrams
if applicable. Additional forms may be required. **Forms available at the Facilities Reservations website: http://www.csuchico.edu/fres
***Please Note: FMS requires 10 working days (Monday – Friday only) advance notice for equipment and services.***
MOVER/CUSTODIAL SERVICES (Facilities Management Services - FMS) ELECTRICAL SERVICES (FMS)
Equipment – Indicate quantities below: Pre-event meeting with the FMS Trades Manager REQUIRED for any
6’ Tables (on-campus only) - Qty: need of electrical assistance at event. Call 898-6222 to set up a meeting.
Folding Chairs - Qty: *Enter name/phone of person that has knowledge of electrical needs:
60” Round Tables (on-campus only) - Qty: LIMIT 12
Trash Cans - Qty: Extra Liners – Qty: Name: *Phone:
Podium Qty: Spider Box – Qty:
Equipment Drop Off/Pick-up by FMS (7:00 am – 3:00 pm ONLY) Unlock Exterior Outlet:
Drop Off: Date Time
Pick Up: Date Time Ground Stage (required):
Request Set-up/Teardown by FMS. STADIUM (FMS)
* Prior approval required - charges will apply. Only available in CLSA/KNDL Lights
Restroom Servicing (other than regular campus schedule – charges apply) Date(s)
Time(s)
RECYCLING SERVICE (Free service provided by AS Recycling) *Additional lighting may be required and billed if needed for safety
HEATING AND COOLING (FMS) Unlock Stadium Restrooms
- Indicate dates and times that heating/cooling is needed:
Date Time GROUNDS SERVICES (FMS)
Date Time Sprinklers Off Outside Trash Pick-up
MISC SERVICES (Please complete additional form if noted.)
Food - Prep/Cook (Complete-Application for Food Serving Permit**) PA System – Staff Supported – Delivered & Set-up - $64/CAF
BBQ Safety Equipment (SLL - BMU 220) (Add’l charges if Tech is needed at the event to operate equipment.)
Campus Tent (Complete-Campus Tent Request Form**) Complete-AV Technology/Theatre Use Planning Form**)
Public Address (PA) System Self-Supported – No Cost (use link below) Other Media (microphone, speakers, projector, DVD/CD player, etc.)
(3 Pieces: Main Speaker Unit, Speaker Extensions & Microphone/stand (Tech Lending - https://library.csuchico.edu/tech-lending)
Includes RCA Cable, Mini-Jack Cable, XLR Cable & Carrying Cases - Theatre Use – PAC Theatres and LAXS
Reservation Link: https://library.csuchico.edu/tech-lending) (Complete-AV Technology/Theatre Use Planning Form**)
OTHER
***OFFICE USE ONLY***
PART III
Form of payment: AO # SAO # CAF # Signature/Date:
Service Center Approvals (if required)
Student Activities Associated Students
Name: Date:
Facilities Reservations (Facility Confirmation)
