Space Reservation Request Form

Filling out this form is not a confirmation. It is simply a request for space use. Please see Facility Use Policies for confirmation conditions.

1.  Date of Request:   Ex. (mm/dd/yy)
2.  Event Date:   Ex. (mm/dd/yy)
3.  Organization Making Request:
4.  Is this group a registered international student organization?: Registered       Not registered
5.  Is your group's focus international or cultural?: Yes       No
6.  If yes, please explain:
7.  IC space requested (check all that apply): Program Room    TV Room
Patio                  Kitchen
8.  Will there be food served?: Yes       No
IF YOUR ANSWER IS "NO" PLEASE JUMP TO QUESTION 10
9.  Will the event be ___: closed to members/invitation only, or
open to public       Not applicable
10.  If open to public, has your group been approved by FSU Dept of Environmental Health and Safety?: Yes       No       Not applicable
If NOT, please download form http://www.safety.fsu.edu/forms.html (Form EHS 1-2 - request for Approval of a Temporary Food Event). Scroll down until you find General Forms category.
11.  Has someone from your group had food safety training? Yes       No
12.  Event Time: Set Up:

Program Start:

Program Finish:

Clean Up Completed:
13.  Type of activity (check all that apply): Meeting       Party       Program
Reception   Dinner
Other, please specify what type of activity?
14.  Event description/title:
15.  Number of people expected to attend:
16.  Person making request:
17.  Address:
18.  Home Phone:
19.  Work Phone:
20.  E-mail Address: