Affiliated Club Support Request
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
AM/PM
Event End Time
Event End Time
*
:
HH
MM
AM
PM
AM/PM
Event Location
*
Number of participants (Approx.)
*
Please select the type of support you are requesting (Note: Support in the form of Service Requests, Audio/Visual equipment and catering can only be provided for events taking place on-campus):
*
Please select the type of support you are requesting (Note: Support in the form of Service Requests, Audio/Visual equipment and catering can only be provided for events taking place on-campus):
Service Request
Audio/Visual (UIT)
Refreshments (i.e., coffee, tea, cookies)
Merch (LA&PS Colleges pens, notebooks)*- Please note that supplies are limited.
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
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-
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