Request will be returned from Office of Student Life to student organization mailbox in ECJ 2.200 within 3 days of date submitted.

Submittal Date:
Student Organization Name:
Student Organization Contact:
Contact Phone Number:
Contact E-mail Address:
Faculty Advisor:
Faculty Advisor Signature:
Project Name:
Project Date:
Select one:	New Project Continuing Project
Purpose of Project:

Please Check the Following:

This Section To Be Completed By the Office of Student Life

Received Date:

Returned Date:

Comments/Suggestions:

Office of Student Life Approval:

Received Date:

Returned Date:

Comments/Suggestions:

Corporate Relations Office Approval: