Affiliated Club Support Request

Student Organization Name
Name of Event
Event Date Event Date / MM / DD YYYY
Event End Date (If event lasts more than one day.) Event End Date (If event lasts more than one day.) / MM / DD YYYY
Event Start Time Event Start Time : HH MM AM/PM
Event End Time Event End Time : HH MM AM/PM
Event Location
Number of participants (Approx.)
Please select the type of support you are requesting:

Please select the type of support you are requesting: Service Request Audio/Visual (UIT) Catering
Please tell us how this event supports and engages LA&PS College students. Include a description of the event, it's purpose and the activities taking place.
Name Name First Last
Position (i.e., President, Signing Officer, etc.)
Email
Phone Phone - ### - ### ####