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FACILITIES REQUEST |
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Person Making Request |
First Name:
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Middle Initial:
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Last Name:
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Title:
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E-mail:
(confirmation will be send to this e-mail address)
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Telephone Number: Cell Phone:
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Fax Number:
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Certification |
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I certify
that I am an employee at The University of Texas at Brownsville and
Texas Southmost College and I am authorized to make this request.
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I certify
that I am a currently enrolled student and I am a member of a registered
club or organization at the University of Texas at Brownsville and Texas
Southmost College. |
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Other:
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| Event Name: |
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| Department's Name: |
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| Division's Name: |
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| Facility Requested: |
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Date
mm/dd/yyyy
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Time
00:00 AM |
Building |
Room# |
Number of
Participants |
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Note: Please submit another request
if you need to add more dates. |
| Description: |
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| Will alcohol be served?
Yes
No |
Will food be served?
Yes
No |
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| If yes, by whom?
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| Will admission be charged or contribution solicited?
Yes No |
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Please note that effective April 2006, the Office of
Scheduling and Course Inventory will be charging for the usage of
facilities
(Reference: UTB HOOP 10.2.6 and TSC Policy
FS 9.04) Sponsoring organization or
recipient of benefits/proceeds: |
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Checklist |
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Important: Be
aware that all of these offices are independent from each other and the
party interested in their services must contact them. |
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Would you need
the following services? |
Media Services
Special Events Media Services Requisition
Example of Services: Video Taping, Photography, Computer/Video
Projectors, Microphones, etc.
Tel. #: (956) 882-8963
Fax #: (956) 882-8965 |
Yes
No |
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Campus Police
Example of Services: Security Services (some events
require security services)
Tel. #: (956) 882-8233
Fax #: (956) 882-6547
**If attendance exceeds 100 or alcohol
is served, you are required to have campus police at your event. |
Yes
No |
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Physical Plant
Example of Services: Rental of equipment
(extra chairs, tables, tents, etc.), Support Services (Set-up/Movers,
Electricians, Vehicle Drivers, etc.)
Tel. #: (956) 882-5900
Fax #: (956) 882-5922
Aztec "Custodial" (Only if trash is going to be generated and/or
cleaning services are going to be needed during the event) |
Yes
No |
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News and Information
To publicize your event on campus and in the community please call the
office of News and Information for a publicity request form.
Tel. #: (956) 882-8231
Fax #: (956) 882-3869 |
Yes
No |
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