ORGANIZATIONAL FUND RAISING REQUEST FORM Form NoteEach “registered” organization is allowed 3 on campus and 3 off-campus fund raising activities or collections for charity per semester. Each event must obtain prior approval of the Student Life Office.Name(Required) First Last Requester's Email(Required) Organization name(Required)Fund Raising Activity(Required)Date of Event(Required) MM slash DD slash YYYY Time of Event(Required) Hours : Minutes AM PM AM/PM On-campus LocationHave you formally reserved the on-campus space? Yes No If you need to reserve an on-campus space, please visit Space Application and Agreement.Off-Campus LocationPlease provide ALL relevant information about your event/activity/project, including how the money will be raised. What type of event will you be hosting?How will money be raised? Raffle Auction Entry Fee Donations Other If Raffle, what is (are) item(s)Raffle Date MM slash DD slash YYYY Raffle Time Hours : Minutes AM PM AM/PM If food sale: Has BSU Food Service been notified? Yes No How do you plan to advertise your event/activity/project:How much money do you plan to raise for your organization?Will a permit/license be needed for this event? (If you plan to do a raffle, 50/50, bingo, etc. you will need a permit and need to speak to Dr. Guyton. Licenses should be requested eight weeks in advance.) Yes No What is the purpose of the event?Do you have or intend to seek public liability insurance for your event? Yes No Have you or are you seeking money from other sources for this event? Yes No I accept the terms and conditions of the Fundraising Agreement. I agree to conduct my event/activity/project by those terms and conditions and in a manner that upholds the integrity of Bluefield State University. I have read and agree to abide by the agreement of Bluefield State University and indemnify Bluefield State University from and against any claim for injuries or damage arising at or from the project/event that is the subject of this proposal. Does your organization agree that all publicity from the proposed event must be approved by Bluefield State University before being released and printed? I have read and agree to abide by the agreement of Bluefield State University and indemnify Bluefield State University from and against any claim for injuries or damage arising at or from the project/event that is the subject of this proposal. Does your organization agree that all publicity from the proposed event must be approved by Bluefield State University before being released and printed? Yes No SignatureDate MM slash DD slash YYYY TweetShareShare
