Request for Use of University Facilities Form

Use of University Facilities Form | Form Instructions | Contacts / UW Venue Operators

Submit a Request

REQUEST FOR USE OF UNIVERSITY FACILITIES

ALL FORM FIELDS ARE REQUIRED FOR COMPLETION OF THIS UNIVERSITY FACILITIES REQUEST.
THIS FORM MUST BE SUBMITTED AT LEAST 3 WEEKS PRIOR TO EVENT DATE.
INSTRUCTIONS: This form is to be submitted when University Facilities are requested for use by off-campus organizations and by campus organizations for events that are open to non-University people.

FACILITY RESERVATIONS ARE TENTATIVE UNTIL APPROVED BY THE COMMITTEE ON THE USE OF UNIVERSITY FACILITIES.

1a. Department or Organization:

Type: RSO/ASUW/GPSS  UW Dept.  Alumni  Off-Campus

1b. Adviser: (if student org.)

2a. Event Name:

2b. Event Coordinator:

3a. Coordinator Phone:

3b. Coordinator Email:

(Please enter one email address only)

4. Billing Address or UW Budget Name:

5. UW Budget No. (if applicable)

6. Purpose for which facilities are requested. Be specific; include any commercial or political activity. The UUF Committee must approve this request in order for this event to be held. Facility reservations do not constitute approval.

7. Names of participating Instructors, lecturers, Artist, or Performers:

8. The University of Washington campus has many indoor and outside spaces that can be used for special events. To assure that there are no conflicts with time, dates, and activities and assure that the basic function the facility is intended to serve remains protected; please, before submitting this form, contact the venue operator to determine whether the venue is available. Once this contact has been made, then please indicate the following (if applicable):

[ View Campus Maps ]

Proposed Locations: Date From: Date To: Event Start: Event End: Attendance: Equipment Req.:

1.   OR   * * * *

2.   OR   * * * *

3.   OR   * * * *

*Optional selection. A Building Coordinator will contact you later if these are not set at this time.
Create a map for your event

Additional Information:
       Event is open to the public.
       Event will be held outdoors.
       Outdoor amplified sound will be used.
       Alcohol will be served at the event; state banquet permit will be obtained.
       Food from an off-campus caterer will be served at the event; Temporary Food Service Event Application may be needed.
       Event is political (e.g. Ballot Proposition).
NOTE: Security and insurance for the event may be required. Please discuss with the venue operator.

Additional venue information or comments:

9. Parking:
       Number of Buses expected:             Number of Other Vehicles expected:

       Number of Spaces for Disabled:        (Contact Parking Division, 206-616-8710, to arrange transportation details or click here)

10a. Will a registration or admission fee be charged?
        Yes    No

10b. Will donations be accepted?
        Yes    No

If admission fee charged, enter amount: $
And purpose:

11. Sponsoring Academic or Administrative Unit:

12. Authorized Representative for the Sponsoring Unit (please see form instructions):
    (Please Confirm Name/Email Using UW Directory)

13. Email of University Sponsor:

UPON THE SUBMISSION OF THIS FORM AN E-MAIL WILL BE SENT TO THE PROVIDED UNIVERSITY SPONSOR

REQUESTING ORGANIZATION IS RESPONSIBLE FOR ANY LOSS, DAMAGE, OR CLAIMS ARISING OUT OF FACILITY USE, EXCEPT THOSE ARISING FROM SOLE NEGLIGENCE OF THE UNIVERSITY.

SUBMITTING THIS FORM WILL INITIATE THE REQUEST AND AUTHORIZATION PROCESS

14. Authorizing Electronic Signature of Requesting Organization.
Please input your email address as signature:

Submission Date:

11/24/2009

Your Authorization: