Community Scheduling Request

Name or Title of Event

Day(s) and Date(s) of Event

Sponsoring Organization

Phone Number

Primary Contact Person

Mailing Address

Primary Contact Phone Number

Primary Contact Email Address

Specific Facilities and Equipment Requested

Event Start and End Time

Start and end time of actual event.

What time would you like access to set up?

What time will you be cleaned up and out of the facility?

Expected Attendance

Complete Description of Event

Purpose of Event and Why at BYU–Hawaii

Will food or drink be served?

Will BYUH Food Services be used?

Will event be used as a recruitment tool of any kind for potential employees?

Will spectators be charged an admission or asked for donation?

Will tickets be issued?

Will event participants (not audience) be charged to participate?

Is there entertainment?

Yes

No

If Yes, Describe in Detail. If No, Type NONE in Description Below

Indemnification and Insurance

I understand that IF my request is approved, I am required to submit proof of Indemnification and Insurance with required coverage amounts and endorsements. Read information linked below:

- Indemnification and Insurance Information and Details

Check the box if you agree to submit required documents

I will submit documentation pertaining to the indemnification and insurance requirements linked above.

Acknowledgements

In order to confirm your request, please do the following:

1. Read the agreements linked below:

- BYU–Hawaii Honor Code and Dress & Grooming Standards Agreement

2. Check the box if you agree to the terms and conditions of the agreement

I have read and agree to the terms and conditions of the BYU–Hawaii Honor Code and dress and grooming standards linked above.

Math question 4 + 6 =

Solve this simple math problem and enter the result. E.g. for 1=3, enter 4.