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University of Hawaii at Hilo - Facilities Use Request by UH Hilo

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TheuseofUniversityofHawaiiatHilofacilitiesisgovernedbypolicy approvedbytheUniver sity ofHawaii,Boardof

Regents.Thesepracticesandproceduresgoverntheshort‐termoccasionaluseofcampus facilities,includingcampus

groundsandparkinglotsbyorganizations withandwithoutuniversityaffiliation.

Allrequestsmustbesubmittednolaterthantwoweekspriortofunctiondate toallowreview,authorizationand

scheduling.Donotpublicizeeventuntilyouhavereceivedproperclearance.Failuretofollowthisschedulemayresult

inthisrequestbeingdenied.Byyoursignatureonthisform,theuseragreesthatallfacilitiesusewillbeleftinthesame

conditionasbeforeuse(i.e.tables and chairsrearrangedforafunctionmustberestoredtooriginalset‐up,whiteboards

erased,lightsturnedoff,etc.)beforeleaving.

UserCategory:University‐AffiliatedOrganization 

OrganizationType:

Universitydepartment,college,office,unitorprogram

Registeredstudent,facultyorstafforganization

Campuscharteredorganization

NameofRISOadvisor/personinchargetobepresentatactivity/event:

Department/DivisionChairperson:

PrintName

AuthorizedSignature: Date:

PurposeofEvent:

Activity/Eventwillbeopento: OrganizationMembersOnly UniversityCommunity

GeneralPublic ByInvitationOnly

PurposeofUse:Opentopublic(Y/N) Estimatedattendance Fees(Y/N) Amount$

DATEREQUESTED:

DAY(S)OFTHEWEEKINUSE(CHECKALLTHATAPPLY):

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

TIMEOFUSE:

FACILITYREQUESTED:

WILLFOODBESERVED?

WILLALCOHOL

BESERVED?

WILLATENT

BEUSED?

NO  YES

Ifyes,TemporaryFoodEstablishmentPermitrequiredunlesscontracted

UHHilofoodconcessionorfoodtruckvendorprovidesfood.

(SeeAttachmentD)

NO  YES

Ifyes,approvedRequesttoServeAlcoholicBeveragesisrequired.



(SeeAttachmentA)

NO  YES

Ifyes,Permit for Temporary StructureRequired

(SeeAttachmentD)

REQUEST: APPROVED/DISAPPROVED

Copiesto: Applicant Custodial Security Other:

FACILITIESUSEREQUESTBYUHHILO

AFFILIATEDFACULTY,STAFFANDSTUDENTORGANIZATIONS

ATTACHMENT B

Revised 1/17

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Completed 17 April 2020

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