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:
Each Semester organizations must do 3 or more events. Within those 3 events, you must fulfill a Community Betterment and Co-Sponsorship
 Community Betterment
 Co-sponsorship  
 Social
 Educational
 Fund-Raiser
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: (i.e. AS-158, AS Room with projector, Any room in De La Salle)


*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 non-lewis students attending?


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
Indoor Games
Sound System
Outdoor games/lawn games
Microphones
Projector
Projector Screen
Laptop Computer
Markers/ art supplies
Extension Cords
     How many:
Bean Bag Game
     How many:

Other: