Activity Clearance Form
An Activity Clearance Form must be on file in the Student Activities Office for all activities scheduled on campus. This includes all meetings, fund raising events, group sponsored activities, or academic meetings. This form should be turned in at least one week prior to the event. Promotional materials will not be stamped by student activities if an Activity Clearance Form is not on file for the event. Facility guidelines must be followed for all activities cleared by the Student Activities Office. The Student Activities Office reserves the right to deny any future activity if facility guidelines are not followed. Equipment that is damaged during the event must be replaced at the expense of the department/ organization.
Name of Group/Department Sponsoring Activity
Contact Person Email
Contact Person's Advisor's Email
Date of Activity
Set Up Time
Time Activity Begins
Time Activity Ends
Break Down Time
I have already reserved this place
Please reserve this space for my club
Alternative Location 1:
Alternative Location 2:
Please indicate if you need special services ordered (ie tables, chairs, food, sound, etc). Also, please list specific quantities and please note that your club may be charged for these services.
Purpose of the Activity
Description of Activity
List names of any persons outside the University performing or speaking for the activity
Is there a formal written contract for these persons?
Do Not Fill This Out