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U-SU EVENTS REQUEST FORM
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22
Questions
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1
SPONSOR TYPE
*
This field is required.
RECOGNIZED CLUB/ORG
CAL STATE LA DEPARTMENT
OTHER
OFF CAMPUS ORGANIZATION
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2
BILLING ADDRESS
*
This field is required.
OFF CAMPUS ORGANIZATIONS MUST PROVIDE THIS INFORMATION
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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3
EVENT INSURANCE CAN BE PROVIDED
*
This field is required.
YES (If YES, sponsor must name the University-Student Union, the State of California, the Trustee of the California StateUniversity, the California State University, Los Angeles, and their officers, agents, employees and volunteers as additional insured. The general liability limit must be of no less than one million dollars $1,000,000).
NO (If NO, sponsor will be required to complete Event Insurance Assessment Form schedule B).
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4
GENERAL EVENT INFORMATION
*
This field is required.
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5
TYPE OF REQUEST
U-SU MEETING ROOM REQUEST
U-SU OUTDOOR EVENT REQUEST
U-SU INFORMATION TABLING REQUEST
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6
GENERAL EVENT INFORMATION
*
This field is required.
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7
HOW MANY PEOPLE ARE YOU EXPECTING FOR THIS EVENT?
*
This field is required.
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8
INFORMATION TABLING LOCATION
*
This field is required.
U-SU PLAZA SPACE
U-SU WALKWAY
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9
U-SU EVENT LOCATION
*
This field is required.
BOARDROOM NORTH (303B)
BOARDROOM SOUTH (303A)
BOARDROOM NORTH/SOUTH (303A/B)
ALHAMBRA (305)
SAN GABRIEL (313)
LOS ANGELES ROOM (308A)
LOS ANGELES ROOM (308B)
LOS ANGELES ROOM (308C)
LOS ANGELES ROOM (308AB)
LOS ANGELES ROOM (U-SU308BC)
LOS ANGELES ROOM (308ABC)
U-SU THEATRE (106)
MONTEBELLO (309)
PASADENA (307)
SPECIAL LOCATION
Other
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10
U-SU OUTDOOR LOCATION
*
This field is required.
U-SU OUTDOOR ALL
U-SU PLAZA STAGE
U-SU PLAZA STAGE 1
U-SU PLAZA STAGE 2
U-SU PLAZA SPACE #
U-SU PLAZA ALL
U-SU WALKWAY #
U-SU WALKWAY ALL
PLAZA WEST
PLAZA SOUTH
PLAZA NORTH
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11
WALKWAY LOCATION
SETUP COMES WITH 1 CANOPY, 1 6'X18' AND 2 EXTERIOR CHAIRS
WALKWAY 1
WALKWAY 2
WALKWAY 3
WALKWAY 4
WALKWAY 5
WALKWAY 6
WALKWAY 7
WALKWAY 8
WALKWAY 9
WALKWAY 10
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12
U-SU PLAZA SPACE
SETUP COMES WITH 1 6'X30' AND 2 EXTERIOR CHAIRS
PLAZA 1
PLAZA 2
PLAZA 3
PLAZA 4
PLAZA 5
PLAZA 6
PLAZA 7
PLAZA 8
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13
SETUP TYPE
*
This field is required.
NOTE: ROOM SETUPS ALREADY COME WITH TABLES AND CHAIRS
THEATER STYLE
CONFERENCE STYLE
BANQUET STYLE
CLASSROOM STYLE
RECEPTION STYLE
DISCUSSION CIRCLE
SPECIALIZED
OUTDOOR SETUP
INFORMATION TABLING
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14
WILL YOU NEED ADDITIONAL EQUIPMENT?
*
This field is required.
NOTE: ROOM SETUPS ALREADY COME WITH TABLES AND CHAIRS CHECK YES IF "OUTDOOR SETUP" WAS SELECTED
YES
NO
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15
ADDITIONAL EQUIPMENT OPTIONS
*THESE OPTIONS WILL REQUIRE APPROVAL OR A MEETING WITH OUR EVENT SERVICES COORDINATOR SKIP TO NEXT PAGE IF NOT APPLICABLE
6'X18' EXTERIOR TABLE
6'X30' EXTERIOR TABLE
6'X18' INTERIOR TABLE
6'X30' INTERIOR TABLE
60" ROUND TABLE
66" ROUND TABLE
COCKTAIL TABLE (Up to 12 - 30" Tall or 42" Tall)
EXTERIOR CHAIRS
LOS ANGELES CHAIRS
MEETING ROOM CHAIRS
WHITE RECTANGLE LINEN ($10 each)
GOLD RECTANGLE LINEN ($10 each)
WHITE ROUNND LINEN ($10 each)
GOLD ROUND LINEN ($10 each)
WHITE COCKTAIL LINEN ($10 each)
GOLD COCKTAIL LINEN ($10 each)
TABLE SKIRT (Black - $10 each)
BLUE CANOPY (Up to 2)
RED CANOPY (Up to 10)
UNITED STATES FLAG
CALIFORNIA FLAG
TENSABARRIER (Up to 4)
EASEL (Up to 4)
WHITE BOARD
DANCE FLOOR
EXTERIOR RISER
INTERIOR RISER
RISER STAIRS
CURTAIN BACKDROP
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16
PLEASE PROVIDE DETAILS FOR ALL THE ADDITIONAL EQUIPMENT OPTIONS NEEDED
*
This field is required.
*APPROVAL OR A MEETING WITH OUR EVENT SERVICES COORDINATOR WILL BE REQUIRED
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Normal
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Created with Sketch.
Ok
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17
WILL YOU NEED MEDIA FOR YOUR EVENT?
*
This field is required.
NO MEDIA NEEDED
MEDIA FOR OUTDOOR EVENT - (Events in the U-SU Plaza)
MEDIA FOR INDOOR EVENT - (Events in the U-SU Meeting Rooms)
MEDIA FOR THEATRE EVENT - (Events in the U-SU Theatre)
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18
AMP SOUND LEVEL NEEDED
*
This field is required.
FOR EVENTS IN OUR U-SU PLAZA ONLYMAXIMUM OF 2 CONSECUTIVE HOURS MON-FRI: 10AM-9PM | SAT: 10AM-6PM
LEVEL 1 - (For announcements only; no music)
LEVEL 2 - (For announcement and background music)
LEVEL 3 - (For live performances, bands and DJs)
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19
AMP SOUND LEVEL TIME
*
This field is required.
FOR EVENTS IN OUR U-SU PLAZA ONLY MAXIMUM OF 2 CONSECUTIVE HOURS MON-FRI: 10AM-6PM
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20
UNION PLAZA MEDIA EQUIPMENT
*
This field is required.
FOR EVENTS IN OUR U-SU PLAZA ONLY
BASIC PA II - (Wireless Mics, Wired Mics, i-pod Connection, Satellite Speaker, DI Box)
PLAZA CONCERT PA - (Wired Mics, On-Stage Monitors, i-pod Connection, DI Box, Bluetooth Audio)
ADDITIONAL PLAZA EQUIPMENT - (Digital Movie Cart and Plaza Podium)
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21
BASIC PA II
*
This field is required.
Wireless Mic
Wired Microphone 1
Wired Microphone 2
ipod Connection
Satellite Speaker
DI Box
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22
PLAZA CONCERT PA
*
This field is required.
Wired Microphone 1
Wired Microphone 2
Wired Microphone 3
Wired Microphone 4
Wired Microphone 5
Wired Microphone 6
Wired Microphone 7
Wired Microphone 8
Wired Microphone 9
On-Stage Monitor 1
On-Stage Monitor 2
i-pod Connection
DI Box 1
DI Box 2
Bluetooth Audio
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23
ADDITIONAL PLAZA EQUIPMENT
*
This field is required.
Digital Movie Cart: LCD Projector with sound, DVD Player and Movie Screen
Plaza Podium
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24
MEDIA FOR INDOOR EVENT OPTIONS
*
This field is required.
NON-SMART ROOM MEDIA EQUIPMENT - (For Board Room South, Pasadena Room and Montebello Room)
SMART ROOM MEDIA EQUIPMENT - (For Board Room North, Board Room North/South, LA Room A, LA Room B, LA Room C, LA Room AB, LA Room BC, LA Room ABC, Alhambra Room and San Gabriel Room)
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25
NON-SMART ROOM MEDIA EQUIPMENT
*
This field is required.
THESE ROOMS COME WITH A BUILT-IN AUDIO AND VISUAL SYSTEM. NOTE: THE U-SU DOES NOT PROVIDE LAPTOPS FOR ANY EVENT.
MEDIA CART - (LCD Projector, Sound Connection, MP3 Playback and Bluetooth Audio)
NON-AMPLIFIED PODIUM
LASER POINTER/POWER POINT CLICKER
HDMI ADAPTOR
MAC ADAPTOR
USB TYPE-C ADAPTOR
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26
SMART ROOMS MEDIA EQUIPMENT
*
This field is required.
THESE ROOMS COME WITH A BUILT-IN AUDIO AND VISUAL SYSTEM. NOTE: THE U-SU DOES NOT PROVIDE LAPTOPS FOR ANY EVENT.
BOARD ROOM NORTH PODIUM
ALHAMBRA PODIUM
SAN GABRIEL PODIUM
LOS ANGELES A PODIUM
LOS ANGELES B PODIUM
LOS ANGELES C PODIUM
LOS ANGELES AB PODIUM
LOS ANGELES BC PODIUM
LOS ANGELES ABC PODIUM
LOS ANGELES CONCERT PA (For Bands Only)
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27
PODIUM OPTIONS
*
This field is required.
3.5mm Jack for Audio Connection
Podium Microphone
Wireless Microphone 1
Wireless Microphone 2
Wireless Microphone Lavalier (clip mic) 1
Wireless Microphone Lavalier (clip mic) 2
i-phone Music Playback
CD Music Playback
DVD Presentation
VHS Presentation
Laser Pointer/Power Point Clicker
MAC Adaptor
HDMI Adaptor
USB Type-C Adaptor
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28
LOS ANGELES ROOM SCREEN OPTIONS
*
This field is required.
LOS ANGELES A SCREEN
LOS ANGELES B SCREEN
LOS ANGELES C SCREEN
LOS ANGELES C SIDE SCREEN
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29
LOS ANGELES ROOM CONCERT PA OPTIONS
*
This field is required.
Wireless Microphone 1
Wireless Microphone 2
Wireless Microphone 3
Wireless Microphone 4
Wireless Microphone 5
Wireless Microphone 6
Wireless Microphone 7
i-pod Connection
DI Box
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30
U-SU THEATRE PACKAGES
*
This field is required.
*ALL EVENTS IN THE U-SU THEATRE REQUIRE A MEETING WITH THE MEDIA COORDINATOR
BASIC SOUND - CD/Mp3 Player, 1 Wireless Mic, Podium, and Bluetooth Audio
FULL SOUND - CD/Mp3 Player, up to 5 Wireless Mics, up to 2 DI Boxes, and Bluetooth Audio
HD CINEMA - Projector, Blue-Ray, THX, DVD/VHS Player, up to 2 Wireless Mics, Computer/Sound Connection, and Bluetooth Audio
PRESENTATION - Projector, Computer/Sound Connection, Podium, up to 3 Wireless Mics, Blue-Ray/DVD/VHS Player, and Bluetooth Audio
DISCUSSION PANEL - Podium with Mic, up to 5 Table Top Wireless Mics, Projector, Computer/Sound Connection, and Bluetooth Audio
BASIC STAGE LIGHTING - Stage Wash
FULL STAGE LIGHTING - Stage Wash, Side Light, Down Wash, LED, Cyc Wash, Follow Spot (Requires tech at hourly rate)
LAPTOP ADAPTOR - MAC
LAPTOP ADAPTOR - HDM
LAPTOP ADAPTORS - USB Type C
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31
WILL YOU NEED ADDITIONAL MEDIA EQUIPMENT?
*
This field is required.
YES
NO
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32
ADDITIONAL MEDIA OPTIONS
*THESE OPTIONS WILL REQUIRE APPROVAL OR A MEETING WITH THE MEDIA COORDINATOR
BASIC PA III - Satallite Speaker, up to 4 Wired Mics, DI Box, and iPod Connection
BASIC PA I - Satallite Speaker, up to 2 Wired Mics, and iPod Connection
16mm FILM PROJECTOR
35mm SLIDE PROJECTOR
OVERHEAD PROJECTOR (Transparencies)
PORTABLE PROJECTOR SCREEN
ELECTRONIC PIANO
UPRIGHT PIANO
CONFERENCE PHONE
HANDHELD HORN
CD PLAYER
TABLE MIC STAND
MUSIC STAND
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33
WILL YOU HAVE FOOD AS PART OF YOUR EVENT?
*
This field is required.
ONLY ON OUTDOOR LOCATIONS OR "TO-GO"
YES
NO
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34
FOOD OPTIONS
*
This field is required.
ONLY ON OUTDOOR LOCATIONS OR "TO-GO" STYLE
UAS
FOOD TRUCK
CAMPUS VENDOR
OFF CAMPUS VENDOR
PREPACKAGED
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35
WILL YOU HAVE OFF-CAMPUS VENDORS/SPEAKERS PARTICIPATING IN YOUR EVENT?
NOTE: GUESTS DO NOT FALL UNDER THIS CRITERIA
YES
NO
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36
EVENT INSURANCE CAN BE PROVIDED
*
This field is required.
APPLICABLE TO OFF-CAMPUS VENDOR/PARTICIPANTS PARTICIPATING IN YOUR EVENT
YES (If YES, sponsor must name the University-Student Union, the State of California, the Trustee of the California StateUniversity, the California State University, Los Angeles, and their officers, agents, employees and volunteers as additional insured. The general liability limit must be of no less than one million dollars $1,000,000).
NO (If NO, sponsor will be required to complete Event Insurance Assessment Form schedule B).
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37
HOW MANY OFF-CAMPUS VENDORS/SPEAKERS WILL COME OR PARTICIPATE IN YOUR EVENT?
*
This field is required.
NOTE: GUESTS DO NOT FALL UNDER THIS CRITERIA
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38
WILL THERE BE A REGISTRATION FEE, ADMISSION FEE OR DONATIONS BEING ACCEPTED
*
This field is required.
NOTE: IF YES, PLEASE PROVIDE DETAILS, AMOUNT AND METHOD OF PAYMENT
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39
WILL ALCOHOL BE SERVED?
*
This field is required.
NOTE: IF YES, PLEASE PROVIDE DETAILS AND WE WILL REQUIRE AN APPROVED REQUEST TO SERVE ALCOHOLIC BEVERAGES FORM TO CONFIRM THE EVENT
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40
IS THIS EVENT DIRECTLY RELATED TO THE EDUCATIONAL MISSION OF THE UNIVERSITY?
*
This field is required.
NOTE: IF NO, PLEASE PROVIDE DETAILS
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41
IS THIS EVENT SPONSORED OR PROMOTED BY A NON-UNIVERSITY OR OFF-CAMPUS ORGANIZATION?
*
This field is required.
NOTE: IF YES, PLEASE PROVIDE DETAILS
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42
IS THIS EVENT A PROFIT-MAKING VENTURE
*
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NOTE: IF YES, PLEASE PROVIDE DETAILS
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43
WILL YOU PLACE DECORATIONS, BANNERS OR SIGNS FOR THIS EVENT?
*
This field is required.
NOTE: IF YES, PLEASE PROVIDE DETAILS
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44
WILL YOU FILM OR RECORD THIS EVENT?
*
This field is required.
NOTE: IF YES, PLEASE PROVIDE DETAILS
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45
WILL YOU NOTIFY MEDIA ABOUT THIS EVENT?
*
This field is required.
(EX: NEWSPAPERS, TELEVISION, RADIO STATIONS, ETC) NOTE: IF YES, PLEASE PROVIDE DETAILS
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46
WILL YOU SHOW A MOVIE/ FILM/ DOCUMENTARY AT THIS EVENT?
*
This field is required.
NOTE: IF YES, PLEASE PROVIDE DETAILS AND WE WILL REQUIRE VIEWING RIGHTS TO CONFIRM THE EVENT
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47
IS THIS EVENT CO-SPONSORED BY THE U-SU OR AN ON CAMPUS DEPARTMENT?
*
This field is required.
NOTE: IF YES, PLEASE PROVIDE DETAILS
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48
ADDITIONAL EVENT DETAIL NOTES
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49
SHORT SUMMARY DESCRIBING YOUR EVENT
*
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Ok
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50
File Upload
CLUBS/ORGANIZATIONS: OUR OFFICE WILL NOT PROCESS THIS REQUEST WITHOUT AN APPROVED COPY OF YOUR EVENT REGISTRATION FORM.
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Select files to upload
Max. file size
: 10.6MB
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51
RESERVATION AGREEMENT
*
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52
PLEASE SIGN TO SUBMIT YOUR REQUEST
NOTE: If request is not submitted with 10 business days in advance, our office does not guarantee the request will be processed in time.
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U-SU EVENT REQUEST FORM
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