COLBY COLLEGE REQUEST FOR USE OF FACILITIES for Non-Colby Off Campus Groups Must be completed in full BEFORE event can be approved by Academic Vice President and Scheduling Office In ord
Trang 1COLBY COLLEGE REQUEST FOR USE OF FACILITIES for Non-Colby Off Campus Groups (Must be completed in full BEFORE event can be approved by Academic Vice President and Scheduling Office)
In order for a requested event using College facilities to be considered, the proposal must clearly
demonstrate that the Colby host will participate centrally in organizing and hosting the event Requests for events that do not have a central academic or research component will be considered non-Colby activities and may not be approved or may be subject to facility use fees and other conditions.
Requesting Faculty: _ Department: _Phone:
Specifics of Proposed Event Requested
Event Title: _ Event Description: _ _
Proposed Date: _ Proposed Location: Proposed Hours of Event: _ Will a fee be charged to participants and, if so, what will the charge be: _ For what purpose will this money be used: _ What role will your department/students play? _Will you be directly involved and be on campus during the event requested? _ _
Will you charge a fee for your services or otherwise benefit financially? Please describe: _ _
How many guests will participate in this event? _ Their age range? Who will be responsible for supervision
of minors under the age of 18? _
the sponsoring department or organization)
Will Food be Served or Sold? Source of Food: _ (please note Colby requires all catering be provided by Dining Services)
Physical Set-up Required: Grounds _ Custodial Security Media Services
Account Number to Charge labor costs to:
Account Number to Charge should damages or additional clean-up occur: _
Liability Insurance
Please check if you or another organization will provide general liability insurance naming Colby as an additional insured and certificate
holder (please list the name of the organization supplying insurance coverage ) Please check if you are asking the College to provide insurance for this event
Signatures Required for Approval (Following requesting faculty and department chair/director signatures, please submit to scheduling for final
approvals)
_ Date: _ Requesting Faculty/Staff
_ Date: _ Department Chair/Director
_ Date: _ Scheduling Manager
Trang 2_ Date: _ Academic Vice President
(Revised 1/28/2009)