case western reserve university

CAMPUS SERVICES

 

Special Event Request Form

All Fields must be filled in for request to be submitted.
Requestor/Sponsor
Department
E-mail
 
Building
Location Code
 
Campus Phone Number
Fax Number
 
Date of Event
Name of Event
 
Location (Select One)
If Other:
If Security presence is needed at two locations for the same event, separate requests must be submitted.
 
Time of Event  
From:
To:
   
Money Collected
Alcohol Served
   
Number of People Attending
Number of Security Officers Needed
Account Number to Charge
   
External Billing Information
 
Name
Address

 

Special Instructions



Thank You! You will be contacted for confirmation.