NOTE:

·       Room availability should be cleared through the Union office before submitting this form.

·       All non-University sponsored functions must be cleared through the Vice President for Student Affairs Office before the Union office can grant approval for room use.

·       Arrangements for Housing, Food Service, and Audio-Visual equipment must be made with the appropriate departments).

·       All arrangements should be made and this form completed at least fourteen (14) days prior to your event.

·       Your activity will not be placed on the University Calendar until the event has been approved by all appropriate University officials.

·       All items will be published on the University web site, as submitted, unless noted otherwise.

·       To submit a paper request, click here.  Return completed  form to the Union Office, Box A-2. 

Estimated Attendance:

Head Table? YES   NO       If yes, how many seats?

Podium?       YES   NO       If, yes, WITH MICROPHONE   or WITHOUT MICROPHONE

Audio-Visual Equipment?

YES    NO   

Click here to reserve AV equipment or contact OIT at 662.846.4760

Food Services?

YES    NO   

Contact the Catering Manager at 662.846.4416 to make arrangements.

Housing Needs?

YES    NO   

Contact the Director of Housing at 662.846.4151 to make arrangements.

I agree to be personally responsible and liable for the welfare and safety of equipment and facilities used in conjunction with this request. Futhermore, I agree to provide the manpower necessary and will reimburse Delta State University for labor costs or damage costs as a result of this event.  

You will receive a confirmation page upon your submission.  Please print this page for your records.