1. REQUEST FOR PERMISSION TO SERVE ALCOHOL


REQUEST FOR PERMISSION TO SERVE ALCOHOL

 

Campus:

Organization/Department.:

Date of Function:        Hours: (from)         (to) 

Type of Function:  

 

 

 

Location of Function:

 

Advisor/College Official(s) to be Present:

 

Number of Police Officers Required:

 

Type(s) of Alcohol to be Served:

 

College Administrator/Student Organization Advisor Responsible for Enforcing College Policy and Procedures for Serving Alcohol during the Function:

 

__________________________________    __________________________________

Signature            Date

 

___________________________________

Title

 

 

Signature Approvals:

 

______________________________________    ___________________________

Campus Provost            Date

 

____________________________________________  __________________________

Vice Chancellor for Learning and Student Development  Date

 

______________________________________    ____________________________

Chancellor              Date

Form 1475/001 (9/04)

 

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