House Event Registration Form

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					                                   House Event Registration Form

House events must be registered with the Office of Residence Life (Earlham Hall). After this form is complete
including all signatures, please bring it to the Assistant Director of Residence Life for Education; the Assistant
Director is the last stop for event approval. House convener(s) should review College policies and guidelines
prior to completing this form.

Deadlines and Definitions:
Open Event: House event where ten (10) or more non-house residents are present. Completed request
(including signatures) must be received by Residence Life Office at least 5 business days prior to the date
of the proposed event.
Closed Event: House event closed to students not residing in the specified house. Closed events that are
restricted to house residents only do not have to be pre-registered. Completed registration form should be filed
within 5 business days following the event to ensure it is maintained on file for annual evaluations.

 Event Basics
 Title of Event: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

 Is the event open or closed?               What type of event is it?
 o Open     0 Closed                        o House Social 0 House Educational             0 House Thematic

 Date of Event: _ _ _ _ _---'Start Time: _ _ _ _ End Time: _ _ _ _ Total Time                       =____
 Location of Event: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Estimated Attendance:. _ _ _ _ __



 Event Details
 Description of Event: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __




 Will non-Earlham students be permitted?       0 Yes     DNa
 Will there be live entertainment or amplified sound? DYes        ONo
 If planned location is assigned house, will any part of the event be outdoors? 0 Yes                 0 No
 Will this event be advertised?   0 Yes     0 No
 If yes, how/where advertised?_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __


 Please submit a copy of publicity with this form.


 House Convener                                              House Advisor (Theme Houses Only)

 I support this event request? 0 Yes 0 No                    I support this event request? 0 Yes 0 No
                                                             I will attend the event? 0 Yes 0 No


 Signature                                                   Signature


                                                             Date
House Residents (For Open Events)

For open events all house residents must sign Indicating they support the request.




Campus Safety and Security (For Open Events)

House convener(s)/members have met with me regarding this event? 0 Yes 0 No
I support this event request? 0 Yes 0 No 0 w/ modification
If modification requested, please specify. 0 Date/Time 0 Venue    0 Event Size o Other
Detail of Recommended Change: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __




Dir. of Campus Safety & Security (Cathy Anthofer)            Date



Student Activities (For Open Events)

House convener(s)/members have met with me regarding this event? 0 Yes 0 No
I support this event request? 0 Yes 0 No 0 w/ modification
Upon final approval will event be placed on event calendar? 0 Yes 0 No
If modification requested, please specify.   0 Date/Time 0 Venue   0 Event Size o Other
Detail of Recommended Change: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __




Director of Student Activities (Rich Dornberger)             Date



Residence Life

House convener(s)/members have met with me regarding this event? 0 Yes 0 No
If modification required, please specify. 0 Date/Time 0 Venue     0 Event Size o Other
Detail of Required Change: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __



Date Received: _ _ _ _ _ _ _ _ _ _ __               Approval? 0 Yes   0 No 0 wI modification


Asst. Dir. of Res. Life for Education   (Andrea Fernandez)   Date

				
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