Event Request Form "*" indicates required fields Contact InformationName* First Last Rio Hondo Student ID#*Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Club InformationI am requesting to host an event as part of the following club:*Please only select the student club that will be hosting the activity/fundraiser/event.1st Year Nursing Club2nd Year Nursing ClubAlpha Gamma SigmaBSU ClubCreative Writing ClubGraphic Design ClubPre-Law Society ClubPhoto League ClubPsychology ClubPuente ClubQueer InitiativeSound CollectiveVictory ClubOther – New ClubEnter club name if you selected "Other"*Scheduling Disclaimer:*I acknowledge that submitting this request less than 15 days before my event risks it not being approved. I am aware that the office of Student Life & Leadership does not host events during the first week and the last two weeks of each Fall/Spring semester. I agree BP5430 – Club Regulations*I affirm that all activities, fundraisers, speakers, and events will adhere to the terms of Club Regulations BP5430 and AP5430 (which I have read, understand, and agree to abide by). I agree Club Advisor Attendance*I affirm the club advisor of the hosting club will be present throughout the entirety of the event/fundraiser/activity. I agree Event DetailsThe person to contact in case of immediate concernsResponsible Advisor on the Day of Event* First Last Email*Phone*Event Details*Please describe in detail: 1. date(s), 2. time(s) including set-up and clean-up, 3. preferred location(s), 4. equipment needs, including table(s), chair(s), canopies, and 5. purpose and details of activity/speaker/event /fundraiser.
