Special Event Request Form Page 2

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Eastern Michigan University
Special Event Request Form
This form is required for any event that is not a general business meeting. Host organization is required to complete the entire
form, attain necessary signatures and return to venue hosting the event. Please print clearly and legibly – forms that cannot
be easily read by staff will be returned.
Today’s Date: ____/____/_____
Student Organization Hosting Event: __________________________________________________________________
Primary Organization Contact for Event: _______________________________________________________________
Contact Valid Phone Number_____________________ Contact Valid Email ___________________________________
President of Organization: Name: ____________________________________________________________________
President Valid Phone Number_____________________ President Valid Email ________________________________
Event Details:
Event Name: _________________________________________________________________________________________
Event Time:
Requested Event Day and Date: ______________________
Desired Access Time:_____________
Points:_________
Event Start: ____________
Sunday – Wednesday = 0 points
Event End Time: ___________
Thursday or Friday (8:00am – 10:00pm) = 0 points
Points: ___________
Thursday, Friday or Saturday after 10:00pm = 2 points
8:00am – 10:00pm = 0 points
Occurs/continues after 10:00pm = 6 points
Occurs/continues after 12:00am = 10 points
Desired Building: Circe One from the list below
Estimated Attendance: _________________
Points: _________
Building Options include:
0-200 = points
EMU Student Center
REC/IM Center
201-350 = 4 points
University Park
Lakehouse
351 and more = 8 points
Pease Auditorium
Convocation Center
MLK Gardens
Roosevelt Steps
Affiliation to EMU: Circle all that apply
McKenny(requires EPO approval)
EMU Students Only
EMU Students and General Community
Specific Room Request(if applicable) ____________________
EMU Students and outside guests/performers
Points: _____________
EMU Students and specific guests (Please explain):
_____________________________________________
Buildings Above = 0 points
_____________________________________________
University Pool = 10 points
Points:_____________
EMU Students only = 0 points
50+ guests/open to public = 6 points

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