MOBILE UNIT REQUEST FORM
For Military Events
Request Date:
Date and Time Needed:
Unit/Battalion:
P/R Event:
Yes
No
Name of Event:
Location:
Directions:
# Service Members Attending:
# Family Attending:
# Public Attending:
Supplies Needed:
Additional Notes:
Point of Contact:
Work Phone Number:
Cell Phone Number:
Email Address:
Please Note:
 The USO of North Carolina reserves the right to withdraw its name from use should significant
changes occur in the event plan(s) that may affect the public’s perception of the USO of NC.
 The USO of North Carolina requests applications be received 30 days prior to the event.
 The USO of North Carolina reserves the right to withdraw from the event depending on
requirement of USO of NC presence at direct military support events.
DO NOT FILL OUT BELOW THIS LINE - FOR USO OF NC OFFICE USE ONLY
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Request Received By:
Request Received Date:
Arrival Time:
Departure Time:
Volunteer Name:
Contact Info:
Approved
Not Approved
Reason:
Mobile Unit Coordinator Signature:
Total Hours: