Dean of Students
11/15/06
SOUTHEASTERN LOUISIANA UNIVERSITY
FOOD POLICY APPROVAL FORM
FOR FOOD RELATED ACTIVITY OR PURCHASE
Student Organization or Department Unit:________________________________________
Purpose of Activity:_______________________________ __________________________
Date of Activity: Time of Activity:_________________________________
Food to be Served:__________________________________________________________
Location of Activity:______________________________ __________________________
Food Will Be: [ ] Sold or [ ] Served Free
Is Food Being Donated?: [ ] No / [ ] Yes- Donor Name__________________________
Food Will Be Purchased From: [ ] Campus Dining
[ ] Vendor/Supplier
[ ] Not Applicable
Food Will Be Prepared By: [ ] Campus Dining
[ ] External Caterer
[ ] Student Organization or Departm ental Unit
[ ] Donor
Food Will be Served By: [ ] Campus Dining
[ ] External Caterer
[ ] Student Organization or Departm ental Unit
[ ] Donor
Budget Amount Available for Activity:______________ _____________
[ ] Actual / [ ] Estimated - Cost for Activity:___________________
Name of Full-Time Employee Responsible For Event:__ ____________________________
Name of Individual Who Has Attended the Food Safet y Class:________________________
Certificate of Insurance Attached For External Cate rer: [ ] Yes / [ ] No
Approval Form Submitted By: _______________________ Date_____________________
Approved Form To Accompany Purchase Requisition For Non-Campus Dining Purchase
__________________________________________________________________________
Activity or Purchase Approved By: _________________ __________________ _________
Director, of Office for Student Engagement Date
Office for Student Engagement
Student Union RM 2307, SLU 10483, Hammond, LA 70402 | Phone:(985) 549-2120
Fax: (985) 549-3946 | student.engagement@southeastern.edu
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