Special Event Form

SPECIAL EVENT FORM
This form does not contitute a contract. A minimum two-week notice is required.

Person Submitting Form:

Date Submitted :

Name of the Event

Date of the Event:

Telephone:

(10 Digits Note: Please enter number only)

E-Mail:

SE College Event

Other College / System Event

Non-College Event

Location:

Lecture Hall

Auditorium

Atrium

Conference Room

Foyer / Lobby

Classroom #

Student Lounge

Fine Arts Center

Time requesting room to be opened:

Event start time:

Event ending time:

Time room can be locked:

Additional date requested:

Alternative date requested:

Time requesting room to be opened:

Event start time:

Event ending time:

Time room can be locked:

Anticipated number of participants:

Special Requests:

Additional Comments :

Please Input the Security Word: