The completed SSRF must be received by the Special Events Office no fewer than 5 days prior to your event in order to allow time to process your request.
* indicates required fields.
First *
Last *
Email *
Phone *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country * Please Select United States Canada Mexico --- Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe
Name of Event *
Date(s) of Event *
Time Event Begins *
Location of Event
Location services are needed * Please Select At Event Location Other (see below)
Location services are needed if different than location of event
Time Event Ends *
Synopsis of Event - Please include a specific description of the services you are requesting. *
Yes
No
N/A
Indoors
Outdoors
SUID only
Off Campus Guests
General Public
Other
Expected Attendance
Number of sober monitors or other host group staff present
If "yes" to above, please provide contact information for the outside sponsor:
If "yes", please list the University Staff person's name
Name of Stanford sponsoring group (Please do not use acronyms) *
Name of Stanford student or staff responsible for this event *
Contact phone number for person who will be on site at the event *
Additional persons responsible for this event. Please include cell phone number
Phone number for person financially responsible *
Email address for financially responsible person *
PTA or iJournal
ASSU Purchase Order
Other--must be prearranged
PTA Number for interdepartmental ijournal transfers.
PTA Approver's Name
Phone number for authorized approver
Email for authorized approver
Please skip. Do not fill this out.
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