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University Licensing
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CSUN Event Approval Form
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THIS
FORM MUST BE COMPLETED FOR ANY COMMUNITY EVENT TO BE
HELD ON THE CSUN CAMPUS. THE FIELD RESERVATION FORM FOR STUDENT
EVENTS/CLUBS IS
AVAILABLE IN THE MATADOR INVOLVEMENT CENTER LOCATED IN THE UNIVERSITY
STUDENT UNION (818)
677-5111.
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| I. TITLE OF EVENT: | ||
| Reservation #: | Date: | |
| II. SPONSORED EVENTS: |
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| Events that are organized entirely by a CSUN faculty member, faculty group, college or department with NO OUTSIDE ORGANIZATION(S) involved, are SPONSORED EVENTS. (Please complete sections I & II and complete sections VI through VIII below.) |
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| Name of Organization: | Type of Organization: (faculty, dept., religious, non-profit, etc.) | ||
| Applicant Name*: | Phone: | Fax: | Email: |
| * (Applicant is individual responsible for conducting the event.) | |||
| III. CO-SPONSORED EVENTS: |
| Events that are organized by a CSUN faculty member, faculty group, college, or department in cooperation with an off-campus organization, are CO-SPONSORED EVENTS. (Please complete sections I & II and complete sections VI through VIII below.) |
| On-Campus Organization: |
| Name of On-Campus Organization: | Type of Organization: (faculty, dept., religious, non-profit, etc.) | ||
| Applicant Name*: | Phone: | Fax: | Email: |
| Off-Campus Organization: |
| Name of Off-Campus Organization: | Type of Organization: (faculty, dept., religious, non-profit, etc.) | ||
| Applicant Name*: | Phone: | Fax: | Email: |
| * (Applicant is individual responsible for conducting the event.) | |||
| IV. NON-SPONSORED EVENTS: |
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| Events that are organized by an outside organization, with NO sponsorship of a university group are NON-SPONSORED EVENTS. (Please complete sections I & II and complete sections VI through VIII below.) If you need assistance, please contact: |
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| V. FUNDRAISING EVENTS: |
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| Fundraising events require coordination with University Advancement. (Please complete section I and complete sections VI through VIII below.) If you need assistance, please contact University Advancement. |
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| VI. INFORMATION ABOUT THE ACTIVITY: (Please be specific) |
| Type of Event: |
(conference,festival, professional development, etc.) |
Size of Event: |
(anticipated attendance) |
| Location Requested: | |||
| Day(s) and Date(s) of Event: | Starting Date: | Reserved From: AM to PM | |
| Ending Date: | Event Concludes:
AM
PM
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| Potential Noise: |
(Will there be music, sound systems, megaphones, and/or loud music?) |
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| Parking and Traffic: |
(Estimated number of vehicles?) |
Will Food be Served? |
Yes
No
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| Custodial, Electrical, Other Needs: | |||
| Additional - Please Specify: | |||
| VII. APPLICANT CERTIFICATION: |
| Applicant certifies that the proposed activity is to be conducted in accordance with the policies and procedures stated in the Facilities Manual and accepts the responsibilities described. |
| Signature: _______________________________ | Title: | ||
| Print
Name:
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Date: ___________ | ||
| Notice: A space reservation will not be confirmed without appropriate signatures. Your signature indicates that special permits, clearances or other requirements have been met or that arrangements have been made to satisfy these requirements. | |||
| VIII.
APPROVAL FEE WAIVERS: Dean or Cabinet Member Signature required. |
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| IX.
APPROVAL OF ROOM RESERVATIONS: (Signature of Room Reservations & Academic
Resource Coordinator) |
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