Fillable Lorain County Community College Office of Student Life (Lorain County Community College)

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Lorain County Community College Office of Student Life (Lorain County Community College)

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Lorain County Community College Office of Student Life
TABLE RENTAL REQUEST
All organizations/individuals shall register with the Office of Student Life the names of the individuals directing sales,
solicitation, or fund raising and the time period for the activity. Persons not affiliated with LCCC may not engage in
sales or solicitation among the general population while on LCCC property unless approved by the Office of Student
Life or another LCCC department office. (Please Submit Form 2 Weeks Prior to Requested Dates)
REQUESTOR INFORMATION
Name of Vendor/Organization:
Name of Requestor:
Address:
City:
State:
Zip Code:
Phone:
Email
Vendors#
All vendors are charged $25.00 per day/per table
No rental fee for LCCC Department & Nonprofit
Table rental fee is due ON or BEFORE the FIRST DATE OF REQUESTED VISIT. We accept cash, check or credit
card. For credit card payments please stop by the Office of Student Life (CC206) or contact at (440) 366-4036.
REQUEST DETAILS
Are you affiliated with an LCCC club/organization? Yes_____ No_____
If yes, please provide name:
Purpose for request: ________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Will there be distribution/sales of any items? Yes_____ No_____
If so, what? _______________________________________________________________________________________
Food Waiver Request form must be submitted 2 weeks in advance to be approved by Director of Dining Services, if
bringing in a food item.
EQUIPMENT NEEDS
Number of Tables Needed________ Number of Chairs Needed _______ Other ( Electrical, AV)____________
_________________________________________ Any other needs? _______________________________________
__________________________________________________________________________________________________
REQUESTED DATE(S)
INDIVIDUALS
(Manning table or display)
Please share how you learned of this campus table rental opportunity: LCCC Website Other (please explain)
OFFICE USE ONLY
Checked vendor in with table location: Table Location ______________________ Initial: _________Date:________
Table Rental Fee_______________ Amount Paid _______________ Date Received_____________ By Who:_______
Food Waiver Needed? YES NO Food Waiver Submission Date__________________________
Food Waiver Approved? YES NO
Approved
Not Approved
Student Life’s Manager Signature:______________________________________ Date:_________________________
Vendor/Organization Notified by: E-mail Phone In Person Date: ______________ Initial:_____________
Revised 2/5/17
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Lorain County Community College Office of Student Life (Lorain County Community College)

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Completed 3 October 2020

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