Activity / Fundraising Request

In order to ensure your activity or fundraiser is given the attention it deserves (posters, social media, etc.), we ask that all requests are made two weeks or more prior to your event. If you have any questions about this form or your activity/fundraising event, please contact Benny Rieth at (920) 433-6656 or benjamin.rieth@bellincollege.edu

Student Organization Activity & Fundraising Request Form

What type of event are you planning?*
- Free Activity
- Fundraiser
What student/staff organization is hosting this event?*
Student/Staff person in charge of the event:*
Contact Phone:
Facilitator (for student groups) or Dean/VP (for staff events):*
Name and Description of Activity:*
Reason for Activity:*
Location requested (on or off campus, room number preferred, etc.):*

Please include all rooms needed for this event.
Date or range of dates requested:*
Time or range of time requested:*
Acknowledgement
By entering my name and date below, I understand that this is a request only. It does not guarantee that your proposal will be approved. I understand that this request must be received at least one week prior to the proposed activity. I also understand the information will be reviewed and I will be notified of its approval.
Name (acts as your signature)*
Date*
MM slash DD slash YYYY

BC Family

Visitors

BC Family

Visitors

Activity / Fundraising Request

Student Organization Activity & Fundraising Request Form

Acknowledgement