Date
Calendared
Front Room / Conference
MOSAIC ROOM RESERVATION REQUEST
All Requests are on a first-come-first serve basis and must be approved by a MOSAIC staff member.
(Please allow one week for requests to be approved)
Name: _________________________________
Date: _________________
Organization: ___________________________Department: _______________
Phone: ___________or____________ E-mail: _________________________
Closed Event? Yes ___ No ___
EVENT INFORMATION
Date(s) of Event: ____________________________
Attendance: __________
(Maximum occupancy 40)
Event Start Time:
____________
Event End Time:
_____________
Event Title: ______________________________________________________
Description of Event:
__________________________________________________________________________
__________________________________________________________________________
Furniture
Equipment Request
___ Tables
___ TV
____ Chairs
___ VCR
*Groups or Organizations requesting the
space will be responsible for their own set up
__ DVD
* For additional equipment, please
contact the IRC @ 924-2850.
Catering
____ Yes
____ No
* Please speak with Mosaic staff
regarding catering
Description of Set-up (attach diagram if needed):
______________________________________________________________________________
______________________________________________________________________________
_____________________________________________________________________
**For After Hours Use: Keys must be picked up the day of the event during office hours, Monday
trough Friday 9:00 am – 5:00pm. Keys must be returned the next business day before 12:00pm.
Failure to do so will result in the replacement of all locks and keys to the facility at the
Organization’s expense.
**Please note: Room MUST be cleaned & returned to original set-up by the organization. Failure to
do so may result in the elimination of future reservation privileges.
**MOSAIC is only available to reserve during Student Union Hours,
http://www.union.sjsu.edu/Building_Hours/building_hours.html
**For Reservations during Mosaic Business Hours please speak with a staff member
MOSAIC Cross Cultural Center
Facility Use Contract
Client shall use Mosaic Cross Cultural Center (hereafter referred to as Mosaic) in a careful and
proper manner and shall comply with and conform to all policie s of San Jose State University, the
Student Union, Inc. and Mosaic, as well as all national, state, municipal, police and other laws,
ordinances and regulations in any way relating to the facilities and its contents.
Loss and Damage
A. Client hereby assumes and shall bear the entire risk of loss and damage to the facilities and contents from
any and every cause whatsoever. No loss or damage to the facilities and contents or any part thereof shall
impair any obligation of Client under this contract, which shall continue in full force and effect through the
duration of use.
B. In the event of loss or damage of any kind whatever to the facilities and contents,
Client shall, at Mosaic's option:
(i) Place the same in good repair, condition and working order; or
(ii) Replace the same with like in good repair, condition and working order; or
(iii) Pay to Mosaic the replacement cost.
Required Hold Harmless and Indemnification:
Client agrees to hold the University harmless from and against all disputes, liabilities or obligations and agree
to both personal and joint liability as a private person and an organization to indemnify, hold harmless and
defend Mosaic Cross Cultural Center, San Jose State University (SJSU) and the California State University
(CSU), and each of its officers, officials, Trustees, employees, volunteers and agents from any and all loss,
liability, fines, penalties, forfeitures, costs and damages (whether in contract, tort or strict liability including
but not limited to personal or bodily injury, death at any time and property damage) incurred by SJSU or
CSU, the Permittee or any other person and from any all claims, demands and actions in law or equity
(including attorney’s fees and litigation expense), arising or alleged to have arisen directly or indirectly out of
this permit or the use of this facility. The Permittee’s obligations under the preceding sentence shall apply
regardless of whether SJSU or the CSU or any of its officers, officials, employees, volunteers or agents are
actively or passively negligent, but shall not apply to any loss, liability, fines, penalties, forfeitures, costs or
damages caused solely by the active negligence or by the willful misconduct of SJSU or the CSU.
I, on behalf of, and as an authorized agent of the above named organization, have read and agree to abide by
Mosaic, Student Union and Campus policies regarding the use of facilities. I understand that all
cancellations should be with a minimum of 24 hours notice to MOSAIC.
I understand that first priority will be given to MOSAIC Affiliates with 2 week prior notice from
reservation date.
_______________________________
AUTHORIZED SIGNATURE
________________
DATE
_______________________________
MOSAIC Staff Approved Signature
________________
DATE