Revised 4/17/2020
Club/Organization Name: _______________________________________________________________
Event Title:___________________________________________________________________________
Event Type: � Meeting � Fundraiser* �Social � Other________________________
*Please contact the Student Life Office to set up a meeting to discuss policies/procedures to obtain approval.
Additional forms are required.
Event Date(s): _______________________________________________________
Per the Student Club Handbook, a Facilities Request form must be completed, signed by the club advisor, and submitted to the
Program Coordinator of Student Life and Leadership or designee no later than ten (10) business days prior to the activity, event, or
meeting. College holidays are not included. When an activity must be cancelled or rescheduled, student clubs must notify their club
advisor as well as the Program Coordinator of Student Life and Leadership or designee immediately and no later than three (3)
business days prior to the scheduled activity, event, or meeting.
All requests are subject to availability and the Administrative Services Office review and approval process.
Event Start Time: _________________ Event End Time: _______________
Is additional set-up/tear down time required: Yes _____ No _____
Set-up start time: ____________ Tear down end time: ____________
Estimated number of attendees are you expecting: ___________
Location (1
st
Choice): _____________ Location (2
nd
Choice): _____________
Club advisors may review if a college facility is available by clicking on the following website:
https://25live.collegenet.com/clpccd/
.
Access to 25Live is required to utilize this feature. Username: studentlifeuser Password: authorized
Information on how to search for locations and resources is available by clicking on the following website:
http://www.laspositascollege.edu/facilities/assets/docs/howtosearcheventslocation.pdf
EVENT RESOURCES- Indicate the number of each item needed
Other _________________________________________________________________________
Requester Name: _________________________ Phone #: _____________________
Requester Signature: ______________________ Email: _____________________
Advisor Name: ____________________ Advisor Email: _____________________
Advisor Signature: _________________________Submission Date: ___________
>> A CONFIRMATION NOTICE WILL BE SENT TO ADVISOR WHEN REQUEST HAS BEEN APPROVED<<
For Office Use Only
Date Received by Student Life Office: ____________ Staff Initial: ___________
Date Entered into 25Live: ______________________ Staff Initial: ___________
STUDENT LIFE FACILITIES REQUEST FORM
LAS POSITAS COLLEGE STUDENT GOVERNMENT (LPCSG)/INTER-CLUB COUNCIL (ICC)
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