Security Services Request Form

The completed SSRF must be received by the Special Events Office no less than 5 days prior to your event in order to allow for time to process your request.

* indicates required fields.

Name *

First

Last

Email *

Phone *

Name of Event

Date of Event

Time Event Begins *

Location of Event

Location services are needed *

Location services are needed if different than location of event

Time Event Ends *

Synopsis of Event - Include any pertinent information

Request for Barricades Only

Yes

Will Alcohol be served?

Yes

Will the Event be held

Indoors

Outdoors

Will there be live music?

Yes

Event will be open to

SUID only

Off Campus Guests

General Public

Expected Attendance

Will the event be advertised off campus?

Yes

Number of sober monitors or other host group staff present?

Is admission being charged? *

Yes

Is this event co-sponsored by groups from outside Stanford? *

Yes

If "yes" to above, please provide contact information for outside sponsor:

Will University Staff be present at the event?

Yes

If "YES" University Staff person's name

Has the office of Stanford Special Events & Protocol been notified?

Yes

N/A

Has the Office of Student Activities been notified?

Yes

N/A

If this is for parking space reservations, have you notified Parking and Transportation?

Yes

Name of Stanford sponsoring group (Please do not use acronyms) *

Name of individual responsible for the event *

Contact phone number for person who will be on site at the event *

Additional persons who will be on site at event. Please include cell phone number

Name of Financially Responsible Person *

First

Last

Phone number of financially responsible person *

Email address of financially responsible person *

Form of Payment *

PTA or iJournal

Purchase Order (Please list ASSU Student Group Number Below)

Other - Must be Prearranged

PTA Number or ASSU Group Number

PTA Approver's Name

Phone number for authorized approver

Email for authorized approver

I have read and understand the information contained on the "Requesting Security Services" website, including the responsibilities and expectations of the event sponsor and SUDPS personnel. *

Yes