INTERNAL EVENT/ FUNCTION REQUEST
REQUEST MUST BE TYPED & SUBMITTED
AT LEAST TWO (2) WEEKS IN ADVANCE Today’s Date:
Sponsoring Campus/Site Division/Department:
INTERNAL EVENT DETAILS
Organization/Group:
Approx. No. of Participants:
Date of Internal Event:
Day of Week:
Internal Event Time/Duration:
Location of Event- Campus/Site: Building/Room:
Description of Internal Event:
SPECIFIC REQUIREMENTS
Room Configuration - Describe Below: (Required - Attach diagram of set-up on separate page.)
Media Services –All media equipment/services requests must be emailed to and confirmed with the appropriate campus/site Media Services office .
Delgado Police Presence - Describe below. (Police requirements determined by Delgado Police Chief; cost per officer- $20.00 per hr. with 4-hr. minimum). See “ Campus Police Presence Requirements for On-Campus Events & Functions .”
ROOM RESERVATION Capacity Facility Scheduling Coordinator Signature (Required):
City Park Campus:
Classroom/Conference Room (20 - 40) _________________________________
Bldg./Room:
Drama Hall, Isaac Delgado Hall (50 - 100) _________________________________
Auditorium, Isaac Delgado Hall (100 - 400) _________________________________
Michael Williamson Gymnasium (200 - 500) _________________________________
Lac Maurepas, Student Life Center (75 - 150) _________________________________
Bayou St. John, Student Life Center (75 - 100) _________________________________
Bayou Signette, Student Life Center (75 - 100) _________________________________
Bayou Lafourche, Student Life Center (75 - 100) _________________________________
Lac Pontchartrain (St. John/Signette/Lafourche) (300 - 500) _________________________________
Bayou Blue, Student Life Center (8 - 12) _________________________________
Bayou Savage, Student Life Center (8 - 12) _________________________________
Other Location:
( ) _________________________________
Other Campus/Site: 
Bldg./Rm./Location: ( ) _________________________________
Requestor’s Name Approved: _______________________/____
Department:
Requestor’s Department Head/ Date
Phone:
________________________/____
Department Head over Facility/ Date 
For Office Use Only: Delgado Police _________________________________________________________________________________ Central Utilities _________________________________________________________________________________ Housekeeping _________________________________________________________________________________
Copies: Requestor; Facility Scheduling Coordinator; Building Services; Campus/Site Media Services; Central Utilities; Delgado Police; Public Affairs
Form 4310/001 (7/10)