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 choose from one of the following options. (Note: support can only be provided for events taking place on-campus):
*
Please choose from one of the following options. (Note: support can only be provided for events taking place on-campus):
Pizza with Profs support (Up to $75)
Up to $75 in refreshments (i.e., coffee, tea, sweets, snacks, etc.)
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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