Alcohol Form

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REMINDER A. IT IS CONTRARY TO UNIVERSITY POLICY TO SERVE ANY ALCOHOLIC BEVERAGES AT EVENTS OR ACTIVITIES TO WHICH THE PUBLIC (OR “ANY OR ALL INTERESTED PERSONS”) ARE INVITED. ADVERTISEMENTS OR GENERAL DESCRIPTION FLYERS ANNOUNCING AN EVENT AT WHICH ALCHOHOLIC BEVERAGES ARE TO BE SERVED MUST STATE THAT ONLY MEMBERS AND INVIATED GUESTS MAY ATTEND. B. C. IN ORDER TO SERVE ALCHOLIC BEVERAGES AT FUNCTIONS WHICH INCLUDE NON-UNIVERSITY GUESTS, SUCH GUESTS MUST BE PERSONALLY AND INDIVIDUALLY INVITED. D. IT IS STRONGLY RECOMMENDED THAT FOOD BE PROVIDED AT ALL FUNCTIONS WHERE ALCOHOL IS AVAILBLE. E. THE SAFETY AND SECURITY OF ALL ATTENDEES MUST BE ASSURED. F. SALE OF ALCOHOLIC BEVERAGES MUST OCCUR ONLY UNDER AN APPROPRIATE LICENSE FROM THE HONOLULU LIDQUOR COMMISSION. INSTRUCTIONS FOR COMPLETING FORM 1. Specify the site, building and any rooms and/or areas to be used, including courtyards or similar spaces designed to function as a part of a building, whether on campus or off campus. 2. Seminar, reception, cocktail party, luau, etc. 3. Specify individuals or organization (e.g., residents of Johnson Hall, graduate students in Physics, etc.). 5. Specify word of mouth, announcements in class, written invitation, etc. (See STATEMENT above prohibiting public announcements. 6. Describe methods that will be used to prevent service to anyone under 21. 7. Beer, wine coolers, mixed drinks, etc. 10. Indicate club treasury, gift, charge, etc. 11. Specify particularly as to disposal of empty containers, paper cups, etc. These items should not be left in the room or area but should be placed in the nearest outside trash container. Assure that provision has been made for adequate supply of trash bags. 12. Signature of responsible individual and organization advisor (if applicable). Note that the individual(s) and/or group(s) may be held liable if legal action is taken. 13. Signature of dean, department or unit chair. 14. Signature of Director of Bureau of Student Activities/Campus Center is required if Campus Center is required if Campus Center complex facilities are used. Signature of Director of Student Housing is required if residence halls facilities are used. Please submit original plus three copies to the Office of the Dean of Students, Bachman Annex #10. NOTE: The sale, service, and consumption of alcoholic beverages on University of Hawaii at Manoa premises is governed by Executive Policy Ell. 202. A copy of this policy by be obtained from the Office of the Dean of Students. REQUEST FOR SERVICE OR SALE OF ALCOHOLIC BEVERAGES BY OR TO STDENTS University of Hawaii at Mānoa Date of Event:____________________ Time:______________________ From To 1. Location:____________________________________________________________________ 2. Type of event (describe):_______________________________________________________ ___________________________________________________________________________ 3. Participants/Guests (no liquor service is permitted for events and activities open to the public):_____________________________________________________________________ 4. Estimated attendance:__________________________________________________________ 5. How will participants/guests be notified?___________________________________________ ____________________________________________________________________________ 6. How will legal age be enforced?__________________________________________________ 7. Alcoholic beverage (s) to be served:_______________________________________________ 8. Alternative beverage (s) to be served:______________________________________________ 9. Food to be provided:___________________________________________________________ 10. Source of funds (if admission is charged indicate amount):____________________________ 11. Provisions for service and cleanup:______________________________________________ 12. Requestor assumes responsibility for insuring compliance with the Reminder on the next page and has read and understands the UH policy on the sale, service, and consumption of alcoholic beverages on University premises. Name of Requestor Name of Group Signature Telephone Signature of Advisor Date Date 13: Endorsed:__________________________________________________________________ Date 14. Authorized (if applicable):_____________________________________________________ Director of BSA/CC Date Or ______________________________________________________ Director of Student Housing Date 15. APPROVED:_____ DENIED:_____ ______________________________________ Dean of Students Date Cc: Facilities Management Campus Security BSA/CC or SHO

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