Facilities Rental Application
Applicant Information
Name of Entity Requesting Use of Facility:
Primary Contact Person:
Email:
Phone:
Contact Person for Day of Event:
Email:
Phone:
Entity’s Mailing Address:
City:
State:
ZIP Code:
Type of Entity:
General Event Information
Name of Event:
Description of Event Activities/Purpose:
Date(s) of Event: Start Date - End Date:
Time(s):
Is the event open to the public? Yes No
No. of People Expected to Attend
(If yes, marketing materials must be reviewed by the University’s Office of
Communication & Marketing prior to advertising)
Will admission be charged or other sales be made at the Event? Yes No
Type of Setup Required:
Is the event primarily for minor children? Yes No
Are multiple locations needed for the Event? Yes No (If yes, a
separate application needs to be completed for each facility requested.)
Specific Event Needs
Please check all of the following that are needed for your Event:
Catering/Food Service (Dining Services)
Reserved Parking
Concessions
Audio Visual
Security (University may require)
Podium
Chairs - How many?
Tables - How many?
Projector
Screen
Amplification/Sound System
Electrical Hookup (outdoor venue)
Overnight Accommodations in Residence
Hall
Facility Requested for Use (In descending order of preference, list below the facilities being
requested for use):
1
st
Choice: Name of Building: Room Number:
2
nd
Choice: Name of Building: Room Number:
3
rd
Choice: Name of Building: Room Number:
Certifications and Acknowledgments (Applicant must check / agree to all items below):
I have read the University’s Access to and Use of Campus Property and Facilities Policy and certify that my intended use of the
University’s facilities will fully comply with the policy’s provisions and any federal, state or local law or regulation.
es.
I have read the University’s Minors on Campus Policy and agree to abide by the requirements, including providing an attestation of
compliance, if applicable.
I understand that the cost estimate provided to me by the University is not firm and may be subject to change based on actual use.
use.
I agree to provide proof of sufficient liability insurance listing the University as an additional insured if requested by the University,
who may determine required coverage limits of insurance in its sole discretion.
I understand that the contact person listed above for Day of Event must be present at the Event at all times.
Signature of Applicant:
Date:
Printed Name of Signatory:
Choose One
Choose One