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Requestor's Name
Student Organization (ONLY)
Contact Phone
Fax
ODU E-mail Address
Street, City, State, Zip
Co-Sponsor (if any)
Date(s) of Event
Alternate Date(s)
Event Name
Start Time
End Time
Building(s) and Room(s) Requested
Estimated Attendance
Type of EventMeeting Film/Video Workshop Conference Other
If "Other" was selected, please specify.
Is this event a fundraiser?
What media needs do you have?
Comments
By clicking submit below, I certify that I am familiar with the policies and procedures as listed at http://studentaffairs.odu.edu/osal/eventmanage/policiesprocedures.shtml for use of university facilities, that this event is consistent with the policies and procedures, that I accept the responsibility for compliance with same, and that my organization/department is responsible for any damages incurred in the facility at the time of the event.
NOTE: The entire form must be completed (use estimates as needed). This form is only a request, not a confirmation. All requests require two weeks to process. Please print this page for your records prior to clicking submit!