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Student Center Solicitation & Donation/Collection Box Request Form

Any type of fundraising, petitioning, canvassing, distribution of materials, membership drives, demonstrating, recruiting, or collecting inside the Student Center will be required to reserve a solicitation space through Student Center Event Services.

It's the department/organization responsibility to read and abide by the Student Center's Solicitation & Donation/Collection Box Policies.

*Solicitation space must be scheduled at least two (2) full business days prior to proposed date.

*Solicitation space requested by RSOs and University Departments must be canceled at least two (2) full business days prior to the reservation date for a refund to be provided.

*Standard solicitation space (other than The Exchange) is 1 - 6 foot table with 2 chairs. This will be set by Student Center staff. If additional setup is needed, describe in last question.
1.Name (First and Last):(Required.)
2.Email Address:(Required.)
3.Phone Number:(Required.)
4.Type of Organization:(Required.)
5.Name of Organization/Department:(Required.)
6.Desired Location:
*Most locations have a cost associated with the space. Art Gallery is free for RSOs/University Departments.
(Required.)
7.Form of Payment (if applicable):(Required.)
8.Please let us know what will be involved with your solicitation space (check all that apply):
*Food is not allowed. Only small candy items may be distributed (not full sized candy bars). (Required.)
9.Date(s) requested (Ex: October 15):
*Donation/collection box can be reserved for a maximum of one (1) week with Sunday - Saturday defining a week.  (Required.)
10.Time Requested:
*For Donation/Collection Box, put N/A for start & end time.(Required.)
11.If multiple dates are requested (with the same start/end time & purpose), list below:
Example: 
ABC Organization
Promotion of upcoming game night
Handing out of flyers
Thursday, October 10: 1-3pm
Thursday, October 17: 1-3 pm

*For donation/collection box, put N/A for additional dates.
12.Do you intend to sell any items (merchandise, tickets, food, etc.)?(Required.)
13.Are you campaigning, endorsing, or promoting someone or an off-campus organization?
Reminder for RSOs: No guests may be at your solicitation table. Only SIU student members of the RSO.(Required.)
14.Description of activity and/or purpose at solicitation space or donation/collection box.  Describe any items being distributed:(Required.)
15.Please provide any other information we need to know.
16.I have read the solicitation policy and/or donation/collection box policy, and I (along with my organization/department) will abide by the rules, regulations, and deadlines. By selecting "I agree" below, I understand I, my organization, or my department will be held accountable to the solicitation and/or donation/collection box policy.(Required.)