Event Information

Name

You can use letters, periods (.), hyphen (-) , apostrophes ('), & commas (,)

Instructions: If your event has multiple dates and times, please add the first date and time in the fields below. Then, add any additional dates and times in the Additional Notes text box at the bottom of this form.

Start Date/Time

Entry must have the following format: MM/DD/YYYY HR:MIN AM/PM (Example: 06/22/2019 07:05 PM)

End Date/Time

Entry must have the following format: MM/DD/YYYY HR:MIN AM/PM (Example: 06/22/2019 07:05 PM)

Setup Date/Time

Entry must have the following format: MM/DD/YYYY HR:MIN AM/PM (Example: 06/22/2019 07:05 PM)

Cleanup Date/Time

Entry must have the following format: MM/DD/YYYY HR:MIN AM/PM (Example: 06/22/2019 07:05 PM)

Expected head count

Alcohol served?

YesNo

If alcohol is served on campus, the event must be compliant with the University Alcohol Policy. Please complete and submit the Alcohol Approval Form.

Food served?

YesNo

For all food being served on campus, Pioneer Catering must first be consulted. Thank you.

Requester Information

Name

Title

You can use letters, periods (.), hyphen (-) , apostrophes ('), & commas (,)

Preferred email

Phone

Address

Apt / Suite / Other

Unit #

City

State

ZIP Code

Event Space & Setup

Location

Equipment needed

(enter 'N/A' if not applicable)

Additional Notes

Other special requests or instructions

(including additional dates and times)

Concord Campus Reservation RequestUniversity Scheduling

Concord Campus Reservation Request
University Scheduling