ICC Student Event/Activity Request Form
Please submit 2-4 weeks prior to the proposed activity and/or event.
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
Other
Proposed Date Start
*
-
Month
-
Day
Year
Date
Proposed Date End
-
Month
-
Day
Year
Date
Proposed Time of Event Start
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Proposed Time of Event End
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
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
Other
Method(s) of Promotion
*
Flyers/Posters
ICC Social Media
Email(s)
Word of Mouth
Newspaper
Classroom Announcements
Isothermal TV (ICN)
Invitations
Other
Submit
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
Should be Empty: