1. EVENT:
Location:
Time: to
OnCampus OffCampus
DateofEvent:
TypeofEvent:
2. SPONSORORGA
NIZATIONS:
Category: Housing Administration,Faculty,Staff Other
Individualincharge:
Address:
Phone:
3. ESTIMATEDATTENDANCE
:
Eventisopento:
MembersOnly
StudentBody InvitedGuests
GeneralPublic
Pleaseindicatewhyalcoholicbeverageserviceisanimportantaspectofyourprogram:
Whatsecuritycontrolmeasureswillbeimplemented?
DirectorofCampusSecurity
’sacknowledgementandapprovalofarrangements:
Approved/Disapproved: Date:
DirectorofSecurity
4. ALCOHOLSERVICE
Alcoholicbeveragestobeserved:
Nonalcoholicbeveragestobeserved:
AllfoodservicemustbeclearedthroughtheUHHiloHealthandSafetyOfficer,unlessfoodis
providedbyUHHilo’scontractedfoodserviceconcessionvendorsorfoodtruckvendors.
FoodprovidedbyaUHHilocontractedfoodservicevendor
UHHilocontractedfoodservicevendorprovidingfood:
FoodprovidedbyanonUHHilocontractedfoodservicevendor:
Approved:
HealthandSafetyOfficer,UniversityofHawaiiatHilo
Theundersignedindividualand________________________(groupororganization)agreetotheconditionslisted
onpagetwoofthisform,governingtheserviceofalcoholicbeveragesattheeventdescribedabove.
Printname Signature
5. APPROVED:
Date:
Dean/Director
Date:
ViceChancellorforStudentAffairsorViceChancellorforAdministrativeAffairs
REQUESTTOSERVEALCOHOLICBEVERAGES
ATTACHMENT A
Revised 1/17
1. REQU
ESTTOSERVEALCOHOLformsshallbesubmittedtotheViceChancellorforStudentAffairsorViceChancellorfor
AdministrativeAffairsnolessthan15dayspriortotheevent.Additionalpreliminaryreview andapprovalshallbesecured
foreventsheldintheCampusCenteroranyresidencehallbyth
eC
ampusCenterDirectororStudentHousingDirector,
respectively.FinalapprovalshallbegrantedbytheViceChancellorforStudentAffairsortheViceChancellorfor
AdministrativeAffairs.
2. Theindividualassumingoverallresponsibilityfortheeventshallbeanofficialrepresentativeofthesponsoring
organization.Theofficialrepresentativesig
ningtheRe
questtoServeAlcoholformmustbepresentthroughouttheevent.
3. Serviceofalcoholicbeveragesshallbeincompliancewithallapplicablefederal,stateandcountylawsandordinances.
4. TheDirectorofSecurityshalldeterminetheappropriatenumberofsecurityguardsrequiredfortheevent.Iftheeventis
opentoth
epub
lic,aminimumoftwosecurityguardsshallbeprovided.
a. Allorganizationsmustusecontractedcampussecurityguardsforoncampuseventsunlessthedegreeofriskinvolved
necessitatestheuseofoffdutypoliceofficers.
b. Securityguardsmaybeassignedto
:i)assistinch
eckingpeopleinandoutofentrances;ii)preventpeoplefromleaving
thepremiseswithalcoholicbeverages;iii)patroltheexteriorofthefacility;iv)checkandsecuretheareanearpublic
restrooms;v)checkandpreventvandalismandunauthorizedentryintootherareas.
5. Responsibilityfordama
ges
toUniversitypropertyduringtheventshallbefinanciallyassumedbytheorganizationincharge
oftheevent.Thedesignatedareamustbeleftincleanconditionbeforevacatingthepremises.
6. Ifalcoholisservedatoffcampusareasorareasthatarenotreadilycontrollable,extremeca
utionmu
stbetakentoensure
thatnoalcoholissold/servedtominors,andthatconsumptionisstrictlycontrolledatalltimestoavoidintoxication.The
serversmustbeauthorizedtomonitorand/orrefuseservicetoindividualspertheserver’sjudgment.
7. Thefollowingshallbeadheredto:
a. Consumptio
nofalco
holispermittedonlywithintheapprovedareasdesignedfortheevent.
b. Nonalcoholicbeveragesmustbeavailableatthesamelocationandfeaturedasprominentlyasthealcoholic
beverages.
c. Anappropriateamountoffood(asrecommendedbythefoodservicecontractor)shallbeserved.
d. Nosocialeve
n
tshallincludeanyformofdrinkingcontestsinitsactivitiesorpromotion.Alcoholshouldnotbeusedas
aninducementtoparticipateinanyUniversitysponsoredevent.Promotionalmaterialshallmakenoreferencestothe
amountofalcoholicbeveragesavailable(i.e.numberofkegs).
e. Subterfugesuchas“d
onations”designedtoavoidpu
bliclicensingrequirementsisprohibited.
8. Failuretocomplywiththeproceduresforalcoholserviceshallresultinthefollowing:
a. Warningtocomplyimmediatelywithpolicy,proceduresandrules.
b. Ifcompliancedoesnotoccurafterwarning,immediateterminationofevent.
Noncomplianceatanyeventmayres
u
ltinsanctionsaffectingfutureevents.
ATTACHMENT A
Revised 1/17