Division of Student Affairs Event Request
Contact Information
First Name
Last Name
Email
Phone
Department
If your department is not listed please select "Other"
Department or Organization Name
Please write out the full organization name, no abbreviations.
Event Details
Event Title
Event Date
Is your date flexible?
Please select...
Yes
No
Event Start Time
Please indicate AM or PM.
Event End Time
Please indicate AM or PM.
What Date/Time do you need access to the space?
MM/DD/YYYY 10:00 AM (Indicate AM or PM)
Number of Attendees
Please enter a whole number, no dashes.
Business Purpose
Event Description
Budget Total
Chartstring or SpeedType
Event Location
Please click
here
to check venue availability.
Preferred Location
Please select...
Anchor House
Anna Head Alumnae Hall
Bear's Lair
California Memorial Stadium
Career Center
Clark Kerr Campus
Eshleman Hall
MLK, Jr. Student Union
Off Campus
Other On Campus Venue
Outdoor Campus Space
Undecided
Preferred Room/Space
Please select...
Sequoia
The Venue
Anchor House Courtyard
Anna Head Alumnae Hall
Bear's Lair
Chancellor's Box
Field Club
Goldman Plaza
Stadium Club
University Club
Blue and Gold Room
Blue Room
Gold Room
Clark Kerr Room
Garden Room
Garden Room Patio
Gingko Courtyard
Krutch Theater
Newell Perry Room
Sargent Johnson Room
Warring Wilkinson Room
Bayview
Conference Room 250
Conference Room 310
Conference Room 318
Conference Room 338
Conference Room 342
Conference Room 350
Practice & Performance Room 10
Practice & Performance Room 240
bNorth Room 82A
bNorth Room 82D
East Pauley Ballroom (1/3)
Kerr Lobby
Pauley Ballroom
Stephens Lounge
Tilden Room
West Pauley Ballroom (2/3)
Off Campus
Other On Campus Venue
Anthropology and Art Practice Building Plaza
Campanile Esplanade
Dwinelle Plaza
Faculty Glade
Lower Sproul Plaza
Memorial Glade
Sather Gate Cresecent
Savio Steps
Social Sciences Building Courtyard
South Treeline of Upper Sproul
Valley Life Sciences Building Lawn
West Cresecent
Wheeler Plaza
Undecided
Please note, a request for this location needs to be placed 3 weeks in advance.
Please note, a request for this location needs to be placed 4 weeks in advance.
Other Location/Venue
Please provide the name of the location including the city and state.
Will you need amplified sound?
Please select...
Yes
No
Please refer to the
Campus Major Events Policy
for more information about amplified sound.
Catering Information
Will you need catering
Please select...
Yes
No
Maybe
Catering Service Type
Preferred Vendor
Guest list required for food and beverage purchase.
Will you be serving alcohol?
Please select...
Yes
No
Maybe
In order to comply with the
Campus Major Events Policy
all events serving alcohol require a minimum of 6 weeks advance notice and a signed
Alcohol Permit
.
Additional Information
Day of Event Contact
Event Contact Name
Event Contact Cell Phone
Additional Comments or Event Information
File Upload
Supervisor Approval
Supervisor Name
Supervisor Email
Salesforce Record IDs (All these fields should remain hidden)
Case ID
Contact ID
Record ID
Account ID
For security purposes, do not include any private information in this form such as credit card, social security numbers, or private health information.