* 1. Request Date:

Today's Date
/
/

* 2. Your Name:

* 3. Job Title:

4. Department:

5. Office Address:

6. Phone Number:

7. Name of Event:

* 8. Type of Event: (Check all that apply)

* 9. Constituency: (Check all that apply)

* 10. Office/College Sponsoring Event

* 11. Date of Event

* 12. Is the Event Date confirmed?

* 13. Event Start and End Times

* 14. Location of Event

15. Is the Event Location confirmed?

* 16. Expected Attendance

* 17. Brief Description of the event's purpose and program

* 18. Detailed request for Event Services (Please describe the duties your event would require our staff to fulfill)

* 19. Budget Account #

* 20. Budget Sign-Off Authority

* 21. Senior Team or Dean Approval

* 22. Will President Joseph E. Aoun be involved?

T