If you experience any difficulties filling out this form, please contact Johnny
Castellano at 743-2952.
Requested TTUHSC Premises:
no later than two (2) business days prior to activity)
Please complete the following questions regarding the area requested for use:
Specific location of area requested:
South elevator landing outside cafeteria, outside ACB150)
Nature of function/event:
Type of sales involved/food served:
Amplification Equipment needed (speakers and microphone)?
Requested Day(s), Date(s), Time(s):
**If special assistance is required, please check the appropriate box below and provide the details.
(Please include details.)
(Electrical or other assistance.)
(Set-up/restoration or other assistance.)
Health, Liability and Safety Responsibility:
The Sponsoring Organization understands and accepts
full responsibility and provides assurances that the Request to Use TTUHSC
Premises on the campuses of TTUHSC meets all health, financial, liability and
safety requirements of the institution, city and county of the campus, lawas of
the State of Texas and policies outlined in the
Student Affairs Handbook, "Use of University Space, Facilities and
Amplification Equipment" and HSC OP 61.07.