Student Activities Program Request

Please return this completed form to the Student Activities Office at least 10 business days prior to the event for approval. 

If your club does not receive approval within three business days from date submitted please contact the Council of Clubs Perfect or the Director of Student Activities.

An EVENT EVALUATION FORM must be submitted within 10 days after the Event is completed.

(*) denotes required information.
	* Organization/Committee Name
	* Email Address:
	* Event
	* Date(s) of Event
	Day of the Week
	* Start and End Time
	* Program Coordinator(s) Name
	Program Coordinator(s) Phone Number
	* Advisor's Name
	Advisor Phone Number
	* Club Account Number
Please include a short description of event and the number of individuals expected to attend.
* Please indicate the building(s), respective room(s), and/or area(s) that you have already been approved for use by the Facilities Office, Events Coordinator.