SPACE REQUEST FORM University Event Management Altied Lerner {ll, 2920 Broadway, Suite 708, New York, NY 10027 Use this form to request space in Alfied Lerner Hall, Classrooms (various), Campus Outdoor Space, and Residence Hall Lounges when you request is not able to be accommodate through EMS due to the special circumstances of your request. Requests may be submitted in person to UEM after you receive advisor approval and sign-off. Submission ofthis form docs not guarantee a space reservation, Confirmations can only be administered by UEM & will be sent via e-mail GROUP INFORMATION: Representative's Namo: Representative's Title: Rep. Email: Recognized Student Group’ Rep. Phone: ‘CU Account Chartstring # (ARC ProjecARC Dept) Group Email AG. / Co-Sponsor Group’ ‘Advisor's Name: Advising Office: Advisor's Email EVENT INFORMATION: z He Please circle which special circumstance applies to your request: a) Short Nolice (within 5 business days of event aio) b) Advanced Calendaring c) Classroom space oulside of building hours 4) Main Lounge ©) waitist request f) Banner Hanging Event Name: Expected Attendance: Requested Location: Alt/Rain Location: Requested Date: Alt. Date: Alt. Date! All. Date: Set up Start Time: Event Sart Time: Event End Time: Clean Up End Time: For Recurring Mestings/Rehearsals: Preferred Day of Week: ‘All. Day: Beginning Date: End Date: Description of Event: (€xamples include meeting, rehearsal, dinner, study brea, speaker [nccate who has been invite to speak and tek aflaon wth Columbia, i any], vendor table, etc.) BUILDING ACCESS: Please select your choice of allendees: Cicciseas (C1 General Public (Non CUID holders) 7 other Cotumbia-afiliated College 1s LJ other Cotege ibs Lst Cotoges or Non-CUID Guests (Guest Lists must bo submited at east 2 business days before evento your advisor for approval. Advisors ae to email the epproved gues listo weloomedesk@cotumbiaedu). ADDITIONAL INFORMATION: Food/Refreshmenis: Will food be served? Ces CINo Please nole thel Columbia Celerng i fe excisve provider of catering services in Lemer Hal Ifyou are bringing your ow food, pease indicao pizza, sandwiches, snack fod ec Aicohol: Will alcohol be served? Dyes DNo ‘yes, an Alcohol Registration Form must bo ited af least 10 business days prior event. ifmoney is exchanging hands at Alcohol event then a NYS Temp. Boor & Wine License must be fed a last 15 business days prior lo event, Media: Will the media be invited to this event? Dyes DNo Ifyes, what media wil be invited and hes communily relations been nolifiedADDITIONAL INFORMATION Continued: ‘Safety and Seourily; Any safely or security concerns? _ Tes CINo ifs, Incicalo any secunty aangoments tht may be requled: Cash: Will cash be collected? (ie. Fundraiser, admission cherge, slo) Dyes CNo ( Advertisements: How will this event be advertised? Don Campus Tlotf Campus ae Ifoff campus, indicale nalure of advertising (ie. fers, print as, radio ads, etc.) SUPPORT SERVICES: FURNITURE: * You mey complete this section if you know what your furniture needs are at this time, or if your request is within 5 business days ofthe event Otherwise, you must submit your request online at hilps:!ems.cuitcolumbia.edulVirtualEMS! Furniture Needs for Events in Lerner Hal Please select the appropriate Furniture and Quantity needed for your event. Chairs Music stands asols ‘Cabaret tables 30") Musician chairs Upright piano Round tables 60") Trash cans Other ( Rectangular tables(72"x30") Coat rack(s) choolies (72°x18") Stanehions The folowing furniture items are also available. These items require setup and Advisor approval: Portable stage - give dimensions of stage in ‘multiples of 4 (for example, 12x 16) SPECIAL SET-UPS: ( Please describe special setup needs (Le. Theater style, Banquet style, Conference siyle, eto) Furniture Needs for Events in Campus Outdoor Space, Residence Hall Lounges, and Classrooms: Please contact Facilities directly at 212-854-8607 AUDIO/ISUAL and TEC! Does this event have Audio and/or Visual needs? (yes [No If screening copyrighted material, please refer to the Screening Policy available on the UEM websie: lp:Huer. columbia. edu/policies-by-subjec/32 AN Needs: in order to meet all of your audio vistial needs the AV & Technical Services Request must be completed & submitted ontine at htins.//ems,cuit.columbia.edulViriuzlEMSY at least 5 business days prior to event. If your request is already within the 5 business day deadline, you must contact Asst. Director of Technical Services, Vieky Zabriskie, at v22114@columbia.edu or 212-854-9060. Services may not be able to be accommodated within 6 business days of event. SIGNATURES: ‘All Recognized Siudent Groups must have Advisor's approval to hold an event. Requests will not be processed without Advisors signature. Advisor Signature: Date: \With your signature, you agree to be responsible for knowing and adhering (0 Columbia University Event Management policies. Representative Signature: Date: