Student Development & Leadership

Activity Request Form

Organization Information:

Organization Name:


Submitters Information:

*First Name:


*Last Name:


*Email:
A value is required.Invalid format.

*Phone:


Activity Information:

Event Type:
 Social
 Educational
 Fund-Raiser
 Community Service
 Co-sponsorship  
Other:

*Event Name:


*Date Requested: (mm/dd/yyyy)
A value is required.Invalid format.

*Start & End Time Requested(including setup &clean-up)


*Location 1st Choice:


Location 2nd Choice:


Location 3rd Choice:


*Please describe the planned event:


*Will this event be open to anyone from the Lewis Community that wishes to attend? (Examples of events that may not open include executive board meetings, organization elections, choir practices, etc.)
 Yes
 No

*Will Non-Lewis students be invited?
 No
 Yes
If yes, please explain:


How many?


Advertising:

All advertising for events is regulated by the SORC office. Organizations are responsible for adhering to Lewis policies regarding advertising and posting of materials around campus. To view the Lewis Posting Policy please click:

* I have read and agree to abide by the Lewis University Posting Policy

Equipment & Special Requests:
Check all that apply:
Popcorn Machine
Karaoke Sound System & CD's
Sound System
DVD Player
Microphones
Projector & Screen
Laptop Computer
Decorative Lights
Grill
Extension Cords
     How many:
Tables
     How many:
Bean Bag Game
     How many:

Other: