Anchor Partner Space Request Form
Has the event been hosted at University of San Diego before?
On-Campus Contact Name:
On-Campus Contact Email:
On-Campus Contact Phone:
Bayside Community Center
Montgomery Middle School
Access Community Center
Anchor Partner Authorized Representative Name:
Email of Authorized Representative:
Phone Number of Authorized Representative:
Purpose of the Event:
Proposed program event date
Proposed program event time:
2 hours or less
Draft Agenda or outline of program:(e.g. registration, breakfast, plenary, breakouts, lunch, etc.)
Name of Keynote Speaker(s) and biography or link to website (if any):
Estimated Number of Attendance:
Percentage of participant's included from: Students, Faculty/Staff, Off-campus Community:
% Off-Campus Community
Will admission be charged?
Will minors be attending?
Cost to USD students:
Cost to USD faculty/staff:
Cost to non-USD participants
Is the event designed as a fundraiser?
I understand co-sponsored events as described above. I agree to be the sole contact person between the University of San Diego and the Anchor Partner. I agree to be on site for the entire event including load in and tear down. The Anchor Partner Organization I represent guarantees timely payment of any charges and fees associated with the space request.Do you agree to the aforementioned terms?
: This form must have all appropriate information completed before event contract can be written.
*Requests must be submitted 30 days in advance to event. Reservations are based on space availability.
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