Complete form and submit to the Office of Safety at least two (2) weeks prior to the proposed activity/event. All fields are required; if not applicable, mark N/A. As per the Events, Demonstrations, Fixed Exhibits, and Short-Term Rentals policy, the Office of Safety reserves the right to deny requests not received two weeks in advance. Form instructions are located on the Office of Safety webpage. Approvals, requests for additional information, and/or additional instructions will be communicated via email to the contact person provided.

Type (select one): Activity/Event Name: Activity/Event Description (be specific):

Building/Campus Location*: Room(s): Has the space/location been reserved?* *Activity/Event form will not be processed if the space/location has not been reserved. For contact information see: https://und.edu/student-life/union/reservations.html

Facility Contact Name/Number: Facility Use Agreement Needed*?

Start Date: Start Time: End Date: End Time: Is this a Reoccurring Event?

Location/facility access is necessary for set-up prior to activity/event start time? Occurs: | Week: | Day(s): S M T W R F S

If yes, open doors for set-up at:

Event Sponsor(s)/Organization(s): Nonprofit or Small Group* *For Non-UND entities – See definitions of Nonprofit and Small Group in the Events, Demonstrations, Fixed Exhibits, and Short-Term Rentals policy.

Event Contact Person(s): Email:Address: Phone:

Participants/Guests: Campus Community General Public Other: Invited Guests

Expected number of people attending: Admission Fee: Amount: $ Will minors be attending? (See Minors on Campus policy): Will a parent/guardian be present with minor:Have employees/volunteers completed the required Minors on Campus training? : Will there be outside vendors**? List: ** UND’s wireless and wired network are not to be used for credit/debit card processing and/or transmitting or receiving sensitive information. The vendor is responsible for contracting with their own internet service provider.**

Will food be served/provided/sold?(see Sanitation/Food policy): Describe:

Food vendor (from where is the food being purchased/prepared/delivered):

Will Alcohol be served? (see Alcohol and Drugs policy): *If yes, the Alcohol exception must be applied for with the Office of the President.Please attach approval or send to: UND.specialevents@UND.edu.If the Facility Contact has not verified the following services at the time of reservation, the sponsor/organization MUST contact the following departments directly to arrange for services. If arrangements have been made, identify the individual contacted when arrangements were made:

Parking Services (701-777-3655) Parking accommodations must be made online.

UND Police Department (701-777-3491) Contact: Location/Facility Contact (listed above) Contact: Campus Catering (701-777-2256) Contact: See Minors on Campus Policy UND Events CalendarFacilities Management (701-777-2523) Contact: Guest Access - to be requested by Guest/Vendor

Parking Security: Staff on duty

Security: Building access afterhours/weekends

Food/Beverage Alcohol Campus/Public Notice Utilities/Equipment: Tables, chairs, heat, A/C, etc.

Wireless network guest access **UND’s wireless and wired network are not to be used for credit/debit card processing and/or transmitting or receiving sensitive information.

Special permits are required for pyrotechnics, recreational fire, noise, and other instances. Contact the Office of Safety for instructions: 701-777-3341.

Activity/Event Approval Form Revised 01/2020

Potential Risks or past problems:

Additional important information:

If the activity/event is approved, the event contact/sponsoring organization is responsible for obtaining all necessary permits, variances, utilities, and goods/services needed. Arrangements with each department providing goods/services should be made at least two (2) weeks in advance of the activity/event. Each department may have specific forms/procedures that must be followed in order to obtain goods/services. I certify that the information on this form is correct to the best of my knowledge.

Signature: Date: Approvals, requests for additional information, and/or additional instructions will be communicated via email to the contact person provided.

Please save form and email as attachment to: UND.specialevents@UND.edu.