Special Events Form

EVENT INFORMATION

Event Name *

Event Date

Event Location (Building)

Event #:

PARKING INFORMATION

Parking Lot Number

Number of Spaces Needed

Start Times

End Time

SPECIAL REQUEST

PARKING SERVICES APPROVAL REQUIRED

*Will require lot attendee, complete billing information

Lot #:

Reserve Meters (cover)?

# of Meters to Cover:

Reserve Lot (Barricade)?

ADDITIONAL INFORMATI0N

Additional Information

CONTACT INFORMATION

(Required fields are marked with an asterisk)

Department Name* *

CMU Dept. Address* *

Contact Person* *

Primary Phone Number* *

Secondary Phone Number* *

Email *

Account #:

Select a choice

CMU Account
Other... This choice will expand a text box

__________Officer(s)/student(s) for ____________ hours each at $50.00 per hour equals $ ___________________

________Student employee(s) for _____________ hours each at $13.00/hour equals $ other fee(s) (specify) at $__________________

Total amount billed $_______________

Need Officers/Students?

Number of Hours

BILLING INFORMATION

Officers can be utilized for $50/hour

Students for $13/hour