NOTE:
The sale, service, and consumption of alcoholic beverages on
University of Hawai‘i at Mānoa premises or at activities
sponsored by University organizations or units is governed by
Executive Policy E11.202.
REQUEST FOR SERVICE OR SALE OF ALCOHOLIC
BEVERAGES BY OR TO STUDENTS
University of Hawai‘i at Mānoa
Note:
Submit application two (2) weeks prior to scheduled event. INSTRUCTIONS on following page.
Date of Event: ______________________________
Time: ___________________________
From
To
1.
Location: __________________________________________________________________
2.
Type of Event/Purpose (describe): __________________________________________
____________________________________________________________________________
3.
Participants/Guests (no liquor service is permitted for events and
activities open to the public): ____________________________________________
____________________________________________________________________________
4.
Estimated attendance: ______________________________________________________
5.
How will participants/guests be notified? __________________________________
____________________________________________________________________________
6.
How will legal age be enforced? ____________________________________________
7.
Alcoholic beverage(s) to be served: ________________________________________
8.
Alternative beverage(s) to be served: ______________________________________
9.
Food to be provided: _______________________________________________________
10.
Source of funds for event (including alcoholic beverages): _________________
11.
Provisions for service and cleanup: ________________________________________
12.
Requestor assumes responsibility for insuring compliance with the Reminder
on following page and has read and understands the UH policy on the sale,
service, and consumption of alcoholic beverages at University functions.
NOTE: Responsible individual is required to have the approved request form
on-site and available at the event.
____________________________________________________________________________
Name of Requestor
Signature
Telephone
Date
_______________________________/____________________________________________
Name of Group
Signature of Advisor/Sponsor
Date
13. Endorsed By: _______________________________________________________________
Signature
Title
Date
14. Authorized (if applicable): ________________________________________________
Director of Student Life & Development
Date
or
________________________________________________
Director of Student Housing
Date
15. ENDORSE
REJECT
_________________________________________________
Vice Chancellor for Students
Date
16. APPROVED
DENIED
_________________________________________________
Vice Chancellor for Administration,
Date
Finance and Operations
cc:
Facilities Management
Campus Security