You must have JavaScript enabled to use this form. Complete this form as indicated. Special Events and Guest Services requires at least four (4) weeks prior to the event. Facilities are scheduled on a first-come first-served basis. After approval by Special Events and Guest Services, you will receive a confirmation of your space request via email. If you do not, please contact Special Events and Guest Services to confirm receipt of your request: 909-537-5236 or events@csusb.edu. For information regarding events, please visit our Web page. Please be specific, as this information may be reported to the Web page. (Please feel free to email additional information to events@csusb.edu.) We suggest that you not print this page. You will receive an automated email response with all your submitted information as your receipt Activity Title Brief Activity Description Date(s) of Event Day(s) of Week Monday Tuesday Wednesday Thursday Friday Saturday Sunday Location of Event Location: Pine, Panorama, and Eucalyptus rooms are no longer available. An itemized list of all event activities and equipment needed for all outside events. Send to list events@csusb.edu TIME: Event time is the actual time of your event; reserved time is the time needed before and after for setup and cleanup. Event Start Time Event End Time Reserved Start Time Reserved End Time Department Account Type N/A State UEC Other Account Phone Fax Email Total Estimated Attendance Number of Students Number of Faculty/Staff Number of Off-Campus Guests Will President Morales Be Attending? yes no Other VIPs? (list) Traveling via Automobile Bus Other… Enter other… # of Buses Other Travel Are off-campus attendees paying for their own parking? yes no Is your department covering the cost for a Lot Clearance? Yes No No lot clearance required Other (Explain) Enter other… Other (explain) Standard Setup Types Classroom Conference Lecture U-Shape As-Is Special (contact Special Events and Guest Services) Descriptions of the Standard Setup Types are defined on the bottom of this page. Fees will be applied for SPECIAL setups. Contact Special Events and Guest Services for costs. Do you want your event posted to the campus Web page? No Yes (pending approval from Special Events and Guest Services if "Yes") Will you need any furniture? No Yes Furniture # Tables # Chairs # Trash Cans Other Are they to be delivered? No Yes Delivery Details Account Fund DeptID Program Class Project/Grant Will you be charging admission? No Yes How will proceeds be used? Will food be provided? No Yes Catering and Food Info Will CSUSB Sodexo be catering your event? No Yes Food Event Notification forms may be required for events serving food not provided by Sodexo. For more information, contact Special Events and Guest Services or Environmental Health and Safety. Will alcohol be served? No Yes A Permit to Serve Alcoholic Beverages MUST be submitted to Scheduling Events and Guest Services prior to the event and you MUST comply with University Policy on Alcohol. Will you need AV equipment? No Yes Check all AV equipment needed: SMART Cart/Classroom (Video Projector, DVD Player, PC w/Internet) TV/VCR Overhead Projector (Transparency) Handheld Microphone Lapel Microphone Podium/Tabel Microphone Other… Enter other… # of Handheld Microphones # of Lapel Microphones # of Podium/Table Microphone Will your event have amplified sound? No Yes What will it be used for? Interim Campus Energy Policy - A utility surcharge will be applied to all facilities used "after hours." Please contact Special Events and Guest Services for costs. Parking – Is enforced 7-days a week. For all off-campus guests, parking arrangements are needed. Please contact Special Events and Guest Services (x75236). Marquee – To post your event to the marquee, a Marquee Request Form is required. Non-Discrimination Certification – If the user is an organization, the requester hereby certifies by his/her signature that the constitution or the bylaws of the organization that he/she represents do not restrict membership on the basis of color, race, religion, national origin, ancestry, sex, age, or physical handicap. If you are in need of an accommodation for your disability to participate in this event, please contact Special Events and Guest Servicesat 909-537-5236 at least 72 hours in advance. Signature Lessee Signature Date Signed Agree I have read and agree to the General Terms and will comply with CSUSB’s Facilities Use Policy