Special Event Sponsor/Vendor Application Revised 8/17/2015
PASADENA AREA COMMUNITY COLLEGE DISTRICT
SPECIAL EVENT SPONSOR/VENDOR APPLICATION
Office of Business Services-Campus Use Pasadena City College, Room C121
PHONE: 626.585.7233 FAX: 626.585.3141
This form is to be completed for every sponsor, vendor or agency who will be participating in any manner at an
event held on Pasadena Area Community College District property.
Name of Event:
Event Day: Event Date:
Event Location:
Business Owner Name(s):
Business Name:
Business Address:
Mailing Address:
Telephone Number: Cell Phone Number:
Fax Number: Website Address:
Email Address: Federal ID#:
Please briefly describe the nature of your participation in this event:
Non-Profit? Yes No (Please attach copy of 501 (c)3 letter).
Items will be (check all that apply): Sold Given Away (If items are to be sold or distributed, please attach
a Certificate of Liability for at least $1million, naming Pasadena City College as additionally insured and as the holder
of the certificate. If only information is to passed out, insurance is not needed)
Food to be served? Yes No (Please attach copy of current Food Handlers Certificate(s), copy of most
recent Health Department Report, copy of Business License, copy of any related Food permit(s) required by City of
Pasadena)
No person shall knowingly or intentionally misrepresent to any employee of Pasadena City College any material fact in procuring a permit.
Signed: Date:
Title:
