CLLC: Space Request Form

To be considered, the form must be filled out in full and approved by the Collins Community Council at least 7 days prior to the event.

Please plan to attend the Community Council meeting at which your request will be reviewed. If you can not attend, please attach a complete description of your event.

Title and sponsorship
Title of event *
Today's date / MM / DD YYYY
Maximum estimated attendance *
Sponsoring Organization
Person responsible First Last
Phone - Area Code - Prefix Line Number
Email
Non-Collins group/resident - Advisor's name First Last
If you are not a Collins resident or a Collins group, please provide your advisor's name/contact info and the name of the Collins resident you are working with in the following fields.
Non-Collins group/resident - Advisor's e-mail
Collins resident representative (Required only for off-campus orgs) First Last
My event is on
Date / MM / DD YYYY
Day of the week * Please double check to make sure this matches the date you are requesting.

Please double check to make sure this matches the date you are requesting.
My event begins at : HH MM AM/PM
My event ends at : HH MM AM/PM
Set-up for my event begins at : HH MM AM/PM
Clean-up for my event will be finished by : HH MM AM/PM
Location request (this section is required - please indicate your first *and* second choice for your event's location)

+Public events must take place in one of these accessible spaces

Please note, once you select a bubble, you cannot un-select it, so click carefully.

Large
Large	1st choice	2nd choice
Tate Holt Tower Lounge+	Tate Holt Tower Lounge+1st choice	Tate Holt Tower Lounge+2nd choice
Edmondson Carl Ziegler Formal Lounge+	Edmondson Carl Ziegler Formal Lounge+1st choice	Edmondson Carl Ziegler Formal Lounge+2nd choice
Dottie Collins Commons+	Dottie Collins Commons+1st choice	Dottie Collins Commons+2nd choice
Collins Courtyard+	Collins Courtyard+1st choice	Collins Courtyard+2nd choice

Medium
Medium	1st choice	2nd choice
Edmondson Hall Classroom C110+	Edmondson Hall Classroom C110+1st choice	Edmondson Hall Classroom C110+2nd choice
Edmondson Hall Classroom C112+	Edmondson Hall Classroom C112+1st choice	Edmondson Hall Classroom C112+2nd choice
Collins Cinema (in the Hillcrest Clubhouse)	Collins Cinema (in the Hillcrest Clubhouse)1st choice	Collins Cinema (in the Hillcrest Clubhouse)2nd choice
Clubhouse space	Clubhouse space1st choice	Clubhouse space2nd choice

Small
Small	1st choice	2nd choice
Conference Room+	Conference Room+1st choice	Conference Room+2nd choice
Table outside of the Collins Eatery+	Table outside of the Collins Eatery+1st choice	Table outside of the Collins Eatery+2nd choice
Annex Lounge Area	Annex Lounge Area1st choice	Annex Lounge Area2nd choice

Virtual Virtual only, no space required Virtual with an in-person component
Type of event meeting/discussion group performance film showing class/workshop/lecture recreation tabling other other
Brief explanation of event
Is your event your Q-project? Yes No
If virtual, please include a link to the virtual component here
I acknowledge that if my event includes a film screening, this request must be turned in 1 month in advance to give Collins time to obtain screening rights. I am turning my request in 1 month in advance My film is on ResLife Cinema or is in the public domain, so you will not need the time to request screening rights
Additional requests

Admission fees may not be charged for any event taking place at Collins. Donations cannot be required for entry.
Please include details such as what non-monetary donations will be collected, what decorations will be used, and when you would like to hang a banner in your brief event description. I wish to collection non-monetary donations I would like to use decorations I would like to chalk in the Collins Courtyard. Note: Chalking is allowed only on cement walkways. No chalking within 10 feet of any building, on limestone, or anywhere on the steps or veranda I would like to hang a banner in the Edmondson Lobby for 24 hours (for official Collins or RPS events only)
Special Equipment: Fill out an Event Tech Request Form if you need any of the following: DVD/Blu-Ray Player, projector, screen, lighting, sound equipment and you are not requesting the Clubhouse Cinema.
My digital signature below indicates knowledge of and an agreement to comply with Residence Hall and University policies and procedures as well as with state laws. Room/space must be tidy and all furniture must be returned to its original position when your event is over. If the Collins custodial staff needs to clean up or move furniture back, you may be charged a fee.
Digital Signature *

CLLC: Space Request Form

CLLC: Space Request Form

Title and sponsorship

My event is on

Location request (this section is required - please indicate your first *and* second choice for your event's location)

Additional requests

Special Equipment: Fill out an Event Tech Request Form if you need any of the following: DVD/Blu-Ray Player, projector, screen, lighting, sound equipment and you are not requesting the Clubhouse Cinema.

Location request (this section is required - please indicate your first and second choice for your event's location)