STUDENT LIFE
RAISED PLATFORM REQUEST FORM
Todays date
Department/ Organization
Contact Name
Telephone number Email
Request date and time
Request date and time
Request date and time
Purpose
Note: If this request involves the collection of items for donation and/or is revenue producing, you must also
attach a completed Collection/Fundraising Request.
PLEASE ALLOW TWO WEEKS FOR PROCESSING
7/13
FOR OFFICE USE ONLY
Request is Approved Denied Accepted with conditions
Comments/conditional agreements
Student Life Date
Request decision communicated via Phone Email In Person Date
R 25 Req. R 25 Confirmed Bruin Beat Digital Display Calendar