Event Title:

Details for the Public/Special Instructions *

Requested Date:

Event Start Time: 1:00 1:15 1:30 1:45 2:00 2:15 2:30 2:45 3:00 3:15 3:30 3:45 4:00 4:15 4:30 4:45 5:00 5:15 5:30 5:45 6:00 6:15 6:30 6:45 7:00 7:15 7:30 7:45 8:00 8:15 8:30 8:45 9:00 9:15 9:30 9:45 10:00 10:15 10:30 10:45 11:00 11:15 11:30 11:45 12:00 12:15 12:30 12:45 * Time of Day: AM PM *

Event End Time: 1:00 1:15 1:30 1:45 2:00 2:15 2:30 2:45 3:00 3:15 3:30 3:45 4:00 4:15 4:30 4:45 5:00 5:15 5:30 5:45 6:00 6:15 6:30 6:45 7:00 7:15 7:30 7:45 8:00 8:15 8:30 8:45 9:00 9:15 9:30 9:45 10:00 10:15 10:30 10:45 11:00 11:15 11:30 11:45 12:00 12:15 12:30 12:45 * Time of Day: AM PM *

Setup Time required before event for Client access:
1 2 3 4 5 6 7 8 9 0 hour* 00 10 15 20 25 30 35 40 45 50 55 minutes*

Takedown TimeTime required after event for Client clean-up:
1 2 3 4 5 6 7 8 9 0 hour* 00 10 15 20 25 30 35 40 45 50 55 minutes*

Number of Participants: *

Campus Security may be required for groups larger than 150 participants at a fee of $26/hour/ officer for a minimum of 2 hours.

Location Preferences - For Single Location Events Only

1st Choice: Please select first choice LANKFORD STEPS-Front Steps LKFRD "A"-Lankford Appomatox Room A LKFRD "ABC"-Lankford ABC Combined LKFRD "B"-Lankford Buckingham Room B LKFRD "C"-Lankford Cumberland Room C LKFRD ARCADE-Lankford Game Room/Arcade LKFRD BALLROOM-Lankford Ballroom LKFRD CHARLOTTE-Lankford Charlotte Room LKFRD LANCER CAFE-Lankford Lancer Cafe LKFRD MALL/PATIO-Lankford Mall/Patio LKFRD_119-Lankford Bowling Alley LKFRD_221-Lankford Amelia Room OTHER/NOT SURE

Alternate Choice: Please select first choice LANKFORD STEPS-Front Steps LKFRD "A"-Lankford Appomatox Room A LKFRD "ABC"-Lankford ABC Combined LKFRD "B"-Lankford Buckingham Room B LKFRD "C"-Lankford Cumberland Room C LKFRD ARCADE-Lankford Game Room/Arcade LKFRD BALLROOM-Lankford Ballroom LKFRD CHARLOTTE-Lankford Charlotte Room LKFRD LANCER CAFE-Lankford Lancer Cafe LKFRD MALL/PATIO-Lankford Mall/Patio LKFRD_119-Lankford Bowling Alley LKFRD_221-Lankford Amelia Room OTHER/NOT SURE *

Location Preferences - For Multiple Location Events Only

Is This a Recurring Event? Yes No

If yes, list additional days and times or date and time patterns:

Publicity
Open to Public
Campus Wide
Specific Group Only

If there is an admission fee, please explain:

Audio/Visual And Technology Needs

Please Enter Number Needed in the Fields Below.

Microphone
Lavaliere (clip-on)
Cordless Handheld
Wired
Microphone Stand

PowerPoint
PowerPoint Setup
Includes: screen, LCD projector, and laptop with CD-Rom and zip drive capabilities

LCD Projector

Lectern

Stage

Screen

TV / VCR

Conference Call (Budget Code Required for University Offices)

Internet Capabilities

Other Resources Not Listed:

Multiple Locations:
For events with multiple locations, please list the locations where each resource should be placed

All technology requests must be submitted no later than two weeks prior to the event

Equipment Needs

Please Enter Number Needed in the Fields Below.

Table

Chair

Tent (required for outdoor picnics)

Tarp (required for non-athletic events in Lancer and Iler Gyms.)

Trashcan

Recycling Bins (Plastic and/or Aluminum)

Other Resources and/or Comments

How would you like the room set up?

Associated fees will be charged to the client for extensive housekeeping needs. These charges are associated with, but not limited to: tarps, overtime, excessive mess, etc.

Food/Beverage Needs

Food/Beverage Needs
Meal-through-the-Line (Dining Hall meal)
Picnic
Catered Meal
Refreshment Break

ARAMARK is the official caterer of Longwood University. Internal clients may submit their orders via the CaterTrax program, featured on the Catering web site.

Conferences and Scheduling confirms with ARAMARK to insure the event can be catered. The clients is responsible for contacting ARAMARK to select menu, flowers, etc.

All food and beverages, including alcohol, served on University property must be provided by ARAMARK. Spaces reserved in the Dining Hall must have requested food/beverage.

Will Alcohol be served at this event? Yes No

Events serving Alcohol may require a Longwood University Police officer in attendance at a fee of $26/hour/ officer for a minimum of 2 hours

Other Resources

Number of Parking Spaces Needed:

Accessibility Information
Will anyone with disabilities requiring special accommodations be attending?
Yes No
If Yes, Please Explain:

Music Information

Yes, I will have a Band present.
Yes, I will have a DJ present.
No, I have no musical needs.

If yes, please list arrival, departure times, electrical needs and other relevant information:

Name:
*

Phone Number:
*

Email Address:
*
(must be your entire email address; for example, "scheduling@longwood.edu"--submitting only "scheduling" will cause an error and your form will not submit)

Affiliation to Longwood

Please fill out your appropriate information:

Faculty/ Staff

Department:
Account:
(An account number is required to process any technology needs for University Departments)

Sponsoring Dept/ Student Organization

Sponsoring Dept/ Organization:
Yes, our advisor approved this event.
Advisor's Name:
Advisor's Phone:
Advisor's E-mail Address:
Account:

External Organization/ IndividualBilling Address

Street Address:
City: State: Zip:

I have read, and understand the procedures for use of facilities.

• Your reservation request remains tentative until you have received a confirmation form from the Student Union.

• Reservation requests must be submitted a minimum of two weeks prior to the event.

• NOTE: Student Union will reserve available space and resources as requested on the scheduling form. Please be sure you have fully indicated all needs.