Student Event Request Form

Today's date:
November 7, 2009

All fields required

Activity Information

Event Date:
Month Day, Year
Form is due three weeks in advance of event.

Name of event:

Understand that this will appear in the Events Calendar

Organization:

SARC intern:

Advisor:

Budget number:

We can not process your request without a budget number

Location:

Alternate/Rain location:

Note: The following locations require additional email approval:

Location	Approval from:
Ferry House	Akiko Yamaguchi
Jewett Parlor, MPR	Batia Epelbaun
Main Third Floor Parlor	Akiko Yamaguchi

Location	Approval from:
Ballentine Field	Jon Martin
Taylor 203/106	Liliana Aguis
Walker	Bruce Gillman

Is your event in one of these locations? Y N If YES send an email to the appropriate person for email approval.

Hours reserved:

Actual hours of event:

Contact person:

Cell phone:

Email:

Event Information

Estimated audience:

Is your event open to the public?

Y N

Having a paid performer: Y N

If YES a contract is required. For student events, all contracts must be signed by the Executive Director of Campus Activities, with a W-9.

Alcohol: Y N

*Alcohol service requires approval of the Campus Activities office. THREE weeks advanced notice is required for all Locations, to acquire an off site catering permit. All alcohol service must be provided by Matthew’s Mug.

How does this program relate to your org's mission statement? What kind of planning have you already done for this event? Is there anything else the VSA/ CAO should know?

Description for Campus Calendar:

Agreement

Initials of requestor:

By entering the initials and submitting this request the requestor agrees on behalf of the organization to adhere to all college regulations and policies. The requestor accepts responsibility for payment of any and all expenses associated with provisions of security, firewatch, set-up/breakdown, repair or replacement and returning the facility to its original condition at the completion of the activity.

Vassar College

Campus Activities