Student Organization Event & Fundraiser Request Form
Please select type of request
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Fundraiser
Event
Organization Name
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Name of Student Submitting Request
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First Name
Last Name
Email of Student Submitting Request
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example@example.com
Name of Faculty Advisor
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First Name
Last Name
Email of Faculty Advisor
*
example@example.com
Describe the planned fundraising activity:
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How many participants are expected to attend?
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Where will activity take place:
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When will activity take place:
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-
Month
-
Day
Year
Date
How does the activity fall within the mission/objectives of the organization?
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Will alcoholic beverages be available/sold at the event?
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Yes
No
If Yes, will all provisions of CM-36, "Guidelines for the responsible use of Alcohol at the LSUHSC" be met?
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Yes
No
Will all financial procedures described in the organizations by-laws be followed?
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Yes
No
Will anything e.g., clothing, mugs, artifacts, etc. that display the LSU name, LSU logo, or other indicia be sold or raffled?
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Yes
No
If yes, please explain
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If minors are expected to attend the event will they be under the supervision of a responsible adult?
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Yes
No
If Yes, Please Explain
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Explain any potential physical or psychological harm/risk to participants associated with this activity.
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Please attach copies of materials e.g., flyers, posters, etc. that will be used to advertise this event.
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Is this event on or off campus?
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On Campus
Off Campus
What is your preferred Building & Room #? (Check room reservation system for availability: https://25live.collegenet.com/pro/lsuhsc#!/home/dash)
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Venue Name and Address
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Venue Contact information
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Description of food and costs involved:
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Description of drink and costs involved:
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Event Duration: (e.g., 1 hour, 2 hours)
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Brief Overview & Purpose: (Describe the intent and how it aligns with the school's mission)
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Type of Attendees: (Check all that apply)
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Faculty
Students
Staff
Alumni
Non-LSUHSC
Number of Invited Guests
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Estimated # of Actual Attendees
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Total Estimated Cost: (Include food, drinks, facilities, security, parking, swag, etc.)
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Estimated cost per person
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Food Costs Involved
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Breakfast
Refreshments
Lunch
Will Alcohol be served?
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Yes
No
If Yes, will all provisions of CM-36, "Guidelines for the responsible use of Alcohol at the LSUHSC" be met?
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Yes
No
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