ICC Student Event/Activity Request Form

As applicable, sponsoring club/organization advisors are responsible for coordinating extra security through Campus Enforcement, reserving space, submitting maintance work orders for setup/breakdown, submitting requisitions, food service, audio/visual needs, and securing campus vehicles as necessary.
As applicable, sponsoring club/organization advisors are responsible for submitting field trip/travel forms and collecting necessary documents from students.
Sponsoring clubs/organizations assume liability for damage, injury, or defacement. In addition, the sponsoring club/organization must enforce the Student Code of Conduct on and off campus.
It is lawful for any non-profit to conduct raffles, but NCGS14-309 limit institutions to two per year. Raffles must be a random drawing and the maximum cash prize offered or paid cannot exceed $50,000. Request for fundraising must receive prior approval by the President via the Student Activities/Event Request Form. All donations and gifts must be approved by the President.
Upon submission of this form, the Student Activities Coordinator will follow up with further inquiry or forward for futher approval from the Dean of Students and College President.

Name of Sponsoring Club/Organization *

Person Submitting the Request *

First Name Last Name

Sponsoring Club/Organization Advisor *

First Name Last Name

Sponsoring Club/Organization Advisor Email *

example@isothermal.edu

Co-sponsoring Organization *

Yes No

Co-Sponsoring Organization's Name and Contact Information

Title of Event/Activity *

Type of Event/Activity *

Activity/Event Fundraiser Information Table Educational (Seminar, etc.) Leadership Development Team Building Community Service Field Trip

Proposed Date Start *

Date

Proposed Date End

Date

Proposed Time of Event Start

: Hour Minutes AM/PM Option

Proposed Time of Event End

: Hour Minutes AM/PM Option

Describe Event/Activity *

Coordinator/Advisor Present at Event *

First Name Last Name

Location of Event/Activity *

Rain Location of Event/Activity

Admission Charge *

Yes No

Cost of Admission

Is Event Open to the Public? *

Yes No

How will Event/Activity Be Promoted? *

On Campus Off Campus

Method(s) of Promotion *

Flyers/Posters ICC Social Media Email(s) Word of Mouth Newspaper Classroom Announcements Isothermal TV (ICN) Invitations

Approved (yes/no)

Yes No

Activities Coordinator signature and date

Activities Coordinator approval (yes/no)

Yes No

Dean of student signature and date

Dean of student approval (yes/no)

Yes No

College president signature and date

College president approval (yes/no)

Yes No