CONTACT INFORMATION
Sponsoring Unit:
Contact Person:
Email Address:
Phone:
Example: (678) 466-5433
PURPOSE
OF REQUEST
Purpose:
Title:
Describe the activity, event or
program:
FOR FUNDRAISERS,
COMPLETE THE FOLLOWING QUESTIONS
Description of Project
Requirements:
(Example: location,
admission, materials, expenses, sales
and collection procedures, etc.)
Financial Responsibilities:
(Example: initial cost for project, anticipated revenues,
anticipated bills after project, etc.)
RESERVED SPACE
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Estimated attendance: |
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Start date: |
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End date: |
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1st choice:
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2nd choice: |
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3rd choice: |
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Total # of rooms needed: |
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What time do you need to access the space?
Will this be reoccurring?
If yes, how often?
Who will be in attendance?
Clayton State Students
Faculty / Staff
Other:
EQUIPMENT REQUEST
See
Equipment and Services
Contract for specific information regarding usage.
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Data Projector
Portable Screen
TV, VCR &
DVD player
Podium
Light-System
Spot-Light
Sound-System
Microphone
Karaoke
machine
Stage
Back-Drop / Curtains
Crowd
Control Barriers
Canopy
Cooking-Grill
Mobile Dry-Erase Board
Extension-Cord
CATERING
For Campus Catering options, visit the
University
Website.
Will there be food at this
activity, event, meeting or program?
If so, who will
provide food for the activity, event or program?