Staging Services Technician Request Form Revised 8/18/2015
STAGING SERVICES TECHNICIAN REQUEST FORM
PHONE: 626.585.7260 or 626-585-7045 campususe@pasadena.edu
***PLEASE SUBMIT THIS FORM DIRECTLY TO CAMPUS USE. TECHNICAL SUPPORT IS NOT ASSURED UNTIL APPROVED BY STAGING SERVICES.
THERE IS A 3 HOUR MINIMUM FOR EACH TECHNICIAN. THE NUMBER OF TECHNICIANS ASSIGNED WILL BE DETERMINED BY STAGING SERVICES.
THIS FORM MUST BE COMPLETED ON A COMPUTER.
Event Title: Location:
Day of Event: Date of Event:
Event START Time: Event End Time: Room Reserved Times: To: __
Name of Requestor: Phone: Organization:
Technicians work on an “on-call” schedule. A form of payment must be written on this form in order for a technician to be scheduled. A 24 hour
cancellation notice must be received by Staging Services in writing prior to the event start time, otherwise full technician charges may be accessed
and billed. Please contact Campus Use for specific rates per hour.
Submit Bill to: Room: Organization:
Cost Center Name: Cost Center Number: / / /
Please use your complete Banner account number Fund/Org/Account/Program
Instructional Department: Course Title:
Administrative Department: President’s Office/District Board of Trustees
Instructional Support: Conference/Workshop:
Other: Grant/Program Title:
Office of Student Affairs - - - Authorizing Signature:
Club Title: Advisor: Ext: Room: _
This Event is a: Lecture Campus Meeting Performance Conference
The event will require the use of: Microphones PowerPoint Video Playback
Please list the specifics of above checked items (ie: how many microphones, what type of microphones, etc):
Please note: not all venues booked have the same technical systems. Consult with Staging Services prior to booking your event for all
technical requests/questions. Staging Services does NOT provide laptops, tablets, or other computerized devices.
*THIS SECTION IS TO BE COMPLETED BY STAGING SERVICES
INVOICE #
Technician Charges: x = x /hr =
(Technician(s)) Hours (Each) (Total Hours) (Rate of Pay) (Total Due)
FOR PAYMENT: The requestor may either have a check drawn and made out to Staging Services and delivered to Staging Services,
C230, Sexson Auditorium for deposit, OR submit a campus budget transfer to cost center 10000-470300-231200-6130.
