CALENDAR DATE REQUEST FORM

EL CAMINO COLLEGE DIVISION/DEPARTMENT
Date Received: ______________
Staff Name: _________________
CALENDAR DATE REQUEST FORM
FOR THE ACTIVITIES CENTER AND LIBRARY LAWN
STEP 1: Requestor contacts Student Development Office x3455 for availability of facility, lawn area, south pa o, and outdoor stage.
STEP 2: Requestor completes this Calendar Date Request Form and obtains their director’s or dean’s signature.
STEP 3: Requestor sends the completed form to Student Development Office for processing at least two weeks in advance of the event
(completed forms may be scanned and emailed to [email protected]). A copy will be returned to the requestor.
STEP 4: Requestor submits a work order for room arrangements using the Facili es Work Order system on the portal. Division/Department Name: _________________________________________________________________________
Requestor’s Name: ________________________________________ Extension: ______________________________
Email Address: ____________________________________________________________________________________
Requestor’s Dean/Director Signature: ________________________________________________________________
Expected a endance: ______________
LOCATION(S) REQUESTED: Will public be a ending?
__ No __ Yes
Event start me: __________________
___ EAST LOUNGE
Early access me: __________________
___ SOUTH PATIO
Will amplified sound be used?
*Amplified sound allowed outdoors on Tuesdays and Thursdays, 1‐2 p.m. only. ___ LIBRARY LAWN
___ OUTDOOR STAGE
__ No __ Yes*
*YOU MUST CONTACT MEDIA SERVICES (x6712) TO HAVE A SOUND SYSTEM SET UP. Will food be served? ___ No
__ Yes*
*Submit a Food Concession Approval form UNLESS food is served or provided by DATE OF EVENT
(exact date of use)
Campus Foodservices Inc.
TIME
(exact hours of use)
TYPE OF EVENT
(one event per requisi on)
NOTE: IT IS THE REQUESTOR’S RESPONIBILITY TO… 1.
2.
3.
4.
5.
6.
Submit Facili es Work Orders for all event set ups and/or room arrangements.
Contact Campus Police to have the facility unlocked and relocked for weekend or late night events.
Take down all decora ons and put trash in proper receptacles at the conclusion of the event.
Request Media Services set up all audio/visual equipment.
Request and pay for over me for custodial personnel to clean up a er any event ending a er building closing me, if deemed
necessary by the Director of Student Development. An account number will be requested by the Student Development Office and
provided to Facili es Planning & Services for over me billing.
Request and pay for over me for Campus Police personnel to provide security for an event, if deemed necessary by the Director of
Student Development. An account number will be requested by the Student Development Office and provided to Campus Police for
over me billing.
FOR STUDENT DEVELOPMENT OFFICE USE ONLY APPROVED
NOT APPROVED
____________________________________
Director of Student Development
________________
Date
Account number for OT Custodial Services: _____________________________________________________________________
Account number for OT Campus Police Services: _________________________________________________________________
Distribu on: Student Development Office, Requestor, and Campus Police
Revised 8/2016 MLB