EventCoordinator(Contact) RequestingEntityandType
(Club,Committee,orDept.name
)
Onetime,Recurring,
Setuponly,orMajorEven
t
DeanorManagerApproval
(typenameorsendemail)
EventDayContactnumber(Cell
)
MesaContactNumbe
r
EventDate EventTime(start&end)
NumberofParkingSpacesEventwillImpact
CampusLocationRequested SecondChoiceLocation
CleanupTimeNeeded(hours)
RequestedPresidenttoSpea
k
OtherVIPSpeakin
g
NumberofAttendeesExpected
Aframesrequested‐itisYOURresponsibility
toturninAframesIMMEDIATELYupon
completion.
FundraisingEvent
(listorganization)
PreRegorRegistration(describe)
Budget(totalamount)
VendorQuoteNumberifapplicable
(p
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
Y
EVERYONE:Bytypingyournameanddate,youareacknowledgingthefollowing:(1)IunderstandTheVPAOfficewillsendmeanEventNumberonceitisapprovedand
(2)IunderstandmyeventrequestsmaybedelayedifIdonotincludetheEventNumber
TypeNameAbove
PreApprovedCoordinatorsONLY‐Bytypingyournameanddate,youareacknowledgingthefollowing:(1) IwillsubmitFacilitiesworkordersandcalendarsubmission
usingtheEventNumber(2)andIwillcoordinatemyAVrequestsandFoodServicesRequestsusingtheEventNumber(3)IwillcoordinateparkingthroughtheVPAoffice.
SANDIEGOMESACOLLEGEEVENT&RESERVATIONREQUESTFORM(1516)
EVENTDESCRIPTION,PURPOSE,andEQUIPMENTNEEDED
EventTitle
Pleaseprovideabriefdescriptionandreasonforyourevent(attachadditionaldocumentationifneeded):
VIPAttending(list)
ContactEmailAddress
Revised Spring 2016