1. INTERNAL EVENT/ FUNCTION REQUEST
      1. INTERNAL EVENT DETAILS
      2. SPECIFIC REQUIREMENTS
      3. ROOM RESERVATION
    2.                Requestor’s Department Head/ Date   
    3. Department:                                
    4. Phone:                      ________________________/____

**Form Used Only for Facilities NOT for Reserve in the College’s Event Management System **

 

  



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 requested and confirmed with Media Services .

Delgado Police Presence - Describe below. Police requirements, including non-negotiable officer detail number and cost, to be determined by Delgado Police Chief. See “ Campus Police Presence Requirements for On-Campus Events & Functions .”


 
 



ROOM RESERVATION

Facility Scheduling Coordinator :   Printed Name: ____________________________________________________

         Signature (Required): ______________________________________________
 

 Requestor’s Name             Approved: _______________________/____


               
       Requestor’s Department Head/ Date   




Department:                                        
 




Phone:                              ________________________/____
                       Department Head over Facility/ Date


For Office Use Only:  Delgado Police _________________________________________________________________________________                                                Central Utilities _________________________________________________________________________________            Building Services _________________________________________________________________________________  

Copies: Requestor; Facility Scheduling Coordinator; Building Services; Central Utilities; Delgado Police
                       Form 4310/001 (12/16)

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