Fillable Office of Student Life EVENT REQUEST FORM (Lorain County Community College)

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Office of Student Life EVENT REQUEST FORM (Lorain County Community College)

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  • 50 check-boxes
  • 47 other fields

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File type: PDF

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Office of Student Life
EVENT REQUEST FORM
CLUBS MUST ALLOW 2-3 WEEKS PRIOR TO EVENT DATE FOR PROCESSING THIS REQUEST
ALL REQUIRED INFORMATION & SIGNATURES MUST BE COMPLETED BEFORE REQUEST IS
ACCEPTED
REQUESTOR INFORMATION
Name of Club/Organization:
Name of Requestor:
Email:
Phone:
Requestor Signature:
Date:
Advisor Signature:
Date:
EVENT INFORMATION
Name of Event:
Date of Event(MM/DD/YY):
Day of Event:
Time of Event:
(Please Include Setup/Cleanup)
End Time: am/pm
Expected Number of Participant /Guest:
(Campus Security has to be notified for events greater than 200 participant)
Location of Event: On Campus Off Campus
1
st
Location Choice:_____________________________ 2
nd
Location Choice:____________________________________
Type of Event:
Program Community Service
Meeting Leadership/Enhancement
Social Activity Joint Venture/Fellowship
Fundraiser
Other (Please Explain)__________________________________________
Event Open To:
Student Body
General Public
Both Student Body/General Public
Invitation Only
Recurring Event: Yes No
If Recurring, How often:
EVENT DETAILS
Describe the event with as much detail as possible. Please attach any additional documents to this request that
would help with arranging details (ex., itineraries, maps, floor plan layouts, etc.):
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
PURCHASING NEEDS
Will There Be Any Purchases For This Event: Yes No (If yes, you must fill out a Purchase Request Form and
submit it with this request to be considered for approval.)
(PLEASE NOTE: IF A CHECK IS NEEDED UP FRONT, IT WILL TAKE UP TO 3 WEEKS FOR ACCOUNTS PAYABLE TO
PROCESS)
FOOD NEEDS
Will There Be Food For This Event: Yes No (If yes, please check one of the food options below and attach all
appropriate paperwork):
LCCC Catering Services (Please select your food items from the LCCC Catering Menu (you can pick one up at the
Student Life front desk) attach your catering order with a Purchase Request Form along with this form to be considered for
approval.)
Fundraising Event (If yes, please select your food items from the LCCC Catering Menu (you can pick one up at the
Student Life front desk) attach your catering order to a completed Purchase Request Form along with this form to be
considered for approval.)
Fundraising Food Donated (If Fundraising food is being donated a Food Waiver must be submitted to LCCC Dining
Services for prior approval. Please attach a completed Food Waiver Request Application with this request to be considered
for approval)
(PLEASE NOTE: IF A FOOD WAIVER IS BEING SUBMITTED, IT MAY TAKE UP TO 3 WEEKS TO PROCESS)
EQUIPMENT NEEDS
Will You Need Equipment For This Event: Yes No If yes, what equipment will be needed:
FURNITURE(PHYSICAL PLANT)
SOUND/ELECTRICAL
TECHNOLOGY
Tables #____
Chairs #____
Stage
large enough for how many people #____
PA System #____
Mic
Wireless Handheld #____
Wireless Lapel #____
Mic Stands #____
Electrical Outlet #____
Power Cords #____
Extension Cords #____
Technical Rider #____
(Please attach copy)
Laptop
Projector
Wireless Remote Clicker
TV #____
DVD #____
VCR #____
OTHER
Trash Cans #____
Other Needs: _____________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
OFFICE USE ONLY
Approved
Not Approved
Not Adequate Time
Inappropriate For Campus
Student Life’s Manager Signature:_______________________________________ Date:_________________________
Club/Organization Notified by: E-mail Phone In Person Date: _______________ Initial:_____________
Revised 2/5/17
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Office of Student Life EVENT REQUEST FORM (Lorain County Community College)

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Completed 3 October 2020

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