EventCoordinator(Contact) RequestingEntityandType
(Club,Committee,orDept.name
Onetime,Recurring,
Set‐uponly,orMajorEven
DeanorManagerApproval
(typenameorsendemail)
EventDayContactnumber(Cell
MesaContactNumbe
EventDate EventTime(start&end)
NumberofParkingSpacesEventwillImpact
CampusLocationRequested SecondChoiceLocation
CleanupTimeNeeded(hours)
RequestedPresidenttoSpea
OtherVIPSpeakin
NumberofAttendeesExpected
Aframesrequested‐itisYOURresponsibility
toturninAframesIMMEDIATELYupon
completion.
FundraisingEvent
(listorganization)
Pre‐RegorRegistration(describe)
Budget(totalamount)
VendorQuoteNumberifapplicable
leaseattach
AVNeeds(list)
Vendors(list) Refreshments(Describe) OtherItems
Date Contact#
Date Contact#
PCABApprovalDate(emailattached) VPAApprovalDate
DenialDate Contingencies
IntendedAudienceMakeup(ex.50%students,50%Mesastaff/faculty)
VPAOfficeNotes:
BudgetNumber
TypeNameAbove
EventNumberAssigned:
PLEASEREADTHEFOLLOWING:
VPAOFFICEUSEONL
EVERYONE:Bytypingyournameanddate,youareacknowledgingthefollowing:(1)IunderstandTheVPAOfficewillsendmeanEventNumberonceitisapprovedand
(2)IunderstandmyeventrequestsmaybedelayedifIdonotincludetheEventNumber
TypeNameAbove
Pre‐ApprovedCoordinatorsONLY‐Bytypingyournameanddate,youareacknowledgingthefollowing:(1) IwillsubmitFacilitiesworkordersandcalendarsubmission
usingtheEventNumber(2)andIwillcoordinatemyAVrequestsandFoodServicesRequestsusingtheEventNumber(3)IwillcoordinateparkingthroughtheVPAoffice.
SANDIEGOMESACOLLEGEEVENT&RESERVATIONREQUESTFORM(15‐16)
EVENTDESCRIPTION,PURPOSE,andEQUIPMENTNEEDED
EventTitle
Pleaseprovideabriefdescriptionandreasonforyourevent(attachadditionaldocumentationifneeded):
VIPAttending(list)
ContactEmailAddress
Revised Spring 2016