Student Life

Activity Request Form

Organization Information:

Organization Name:
If not listed, please contact us to check the status of your organization

Name of Advisor:

Advisor´s Campus Extension:

Email of Advisor

Student Information:

Student Responsible for the Event

Student´s Email Address:

Student´s Phone:

Event Information

Title of Event:

Date(s) and Day(s) of Event:
Please note: If you have a recurring event, i.e., meetings every Tuesday at 5:00 PM, you MUST enter EACH date.
Please separate multiple dates with commas.

Does your Event contribute to ANY of the following:

  • Global Knowledge
  • Intercultural Skills
  • A Change in Global Attitudes

Brief Description of Event

Will the event be open to people other than members of your organization (i.e., KSU students, faculty and staff)? Yes No

Does this event or activity promote leadership development? Yes No

Will this program enhance the attendees' knowledge of a specific subject, skill or current issue? Yes No

Building & Room Information

Request Building/Area Location:

Setup Type Requested:

Additional Information, please explain:

Requested Location:
First choice:
Second choice:

Please Approximate Attendance:

Estimated Number of Off Campus Guests:

Need a Podium? Yes No

Will you need media equipment? Yes No

Equipment Needs:

Will you be using any third party or outside company´s equipment or services? Yes No

There were errors on the form, please make sure all fields are filled out correctly.