Stephen F. Austin State University Risk Management and Event Notification Form GENERAL INFORMATION Organization Contact Name Event Name Contact Phone Number Event Date Contact Email Event Location & Address* Event Location Contact Name Event Start Time Event End Time Event Location Contact Phone Number Event Type (Mixer, Party, Date Party, Formal, Community Service, Philanthropy, etc.) A copy of the signed venue contract must be attached. If venue requires a contract CO-SPONSOR INFORMATION Co-Sponsoring Organization Co-Sponsor Contact Name Co-Sponsor Contact Number Co-Sponsor Contact Email Co-Sponsoring Organization Co-Sponsor Contact Name Co-Sponsor Contact Number Co-Sponsor Contact Email Number of people attending event: Audience Type: Members only Invite Only Public ORGANIZATION’S RESPONSIBILITIES Reservation/Contract with Location Security Guards/Off-Duty Police Event Invitations Event Identification (stamps, etc.) Event Closed to the Public General liability insurance Secured Secured Secured Secured Secured Secured Event Management Will alcohol be present? Serving Food or Beverages (nonalcoholic) How will alcohol be distributed? Yes Yes BYOB *A complete GUEST LIST must be attached for Closed Events/Parties **Greek organizations must attach National policy on guest lists. N/A N/A N/A N/A N/A No No Third Party Vendor What? N/A By signing this form, you are stating your organization has read, understands and agrees to comply with Stephen F. Austin State University’s Risk Management (13.9) and Illicit Drugs and Alcohol Abuse (13.11) policies. (Sororities and Fraternities must also comply with their National/International Risk Management Policies.) _____________________________ _________________________________ ___________________ Printed Name – President Signature Date _____________________________ _________________________________ ___________________ Printed Name – Social Chair Signature Date _____________________________ _________________________________ ___________________ Printed Name – Risk Management Chair Signature Date You must turn this form in to the Office of Student Engagement Programs at least fourteen (14) days prior to the event. Failure to do so will result in referral to the appropriate judicial authority. For questions, please contact the Office of Student Engagement Programs at 936-468-3703. For Office Use Only: Signature of Director or Assistant Director Student Engagement Programs Date Received Stephen F. Austin State University Risk Management Event Contract GENERAL INFORMATION NAME OF BUSINESS PHONE ADDRESS CITY/STATE/ZIP This is a contract stating that the ________________________________ at Stephen F. Austin State University, may use (Name of Organization) ________________________________________ for the purpose of _____________________________________________. (Facility Name) (Event Name) __________________________________________ will abide by all rules and regulations according to Stephen F. Austin State (Name of Organization) University and ______________________________________________. (Facility Name) By signing this from, you are stating your organization has read, understands and agrees to comply with Stephen F. Austin State University’s Risk Management (13.9) and Illicit Drugs and Alcohol Abuse (13.11) policies. (Sororities/Fraternities also comply with the National/International Risk Management Policies.) **If vendor requires use of their own detailed contract, a copy must be attached with this form.** PRINTED NAME – FACILITY OWNER/MANAGER SIGNATURE – FACILITY OWNER/MANAGER DATE PRINTED NAME – PRESIDENT SIGNATURE – PRESIDENT DATE PRINTED NAME – RISK MANGEMENT/VP SIGNATURE – RISK MANAGEMENT/VP DATE PRINTED NAME – SOCIAL CHAIR/VP SIGNATURE – SOCIAL CHAIR/VP DATE