This is a printable off-campus activity request form. Use the Print button to print and complete it by hand.
Student Leadership & Activities
Off‑Campus Activity Request Form
Mission Statement: The Office of Student Leadership & Activities supports academic programs through extracurricular activities that promote individual growth, social responsibility, and leadership development.
Completion of this form allows SLA to include your event on the Activities Calendar and ensure compliance with applicable safety rules and regulations. This event is NOT permitted until this form is completed in its entirety. Once completed, email to the Director or Coordinator of Student Leadership & Activities.
Organization Name
Name of Event
Date of Event
Event Start & End Time
Event Location
Anticipated Attendance
Purpose of Event
Fundraiser Event
Yes No
* If yes, the Fundraising Proposal Request Form must be completed before submitting this form.
Requester Name
Requester Signature
Organization Advisor Signature
* By signing, the Advisor acknowledges responsibility to be present at the event.
Student Leadership & Activities Signature
SLA Staff Use Only
Chrome River Required
Yes No
Completed Paperwork
Yes No
Travel Waivers Required
Yes No
Completed Paperwork
Yes No