UMPI Student Organization Sponsoring an Outside Organization

Please complete this form at least 10 days prior to the event.

Student organizations sponsoring off-campus (must be non-profit) organizations to utilize campus facilities will be charged a fee based on $0.50 per person to defer heat and staffing costs.

Note:  Submitting this form electronically will provide an e-signature.

This form is being forward to the Student Activity Coordinator for her signature. You can call or email Alyson Gibbs to confirm that she forward the room reservation to Conferences and Special Programs.

Please use the following form or send an email inquiry to: reservations@whope.umpi.maine.edu

Sponsoring Student Organization Name: 

Requestor's email: 

Name of Requestor: 

Name of UMPI Contact Person: 

Phone Number Extention 

Contact Email Address 

Day/Date of the event (e.g. Tuesday, October 25, 2005) Can request multiple dates for same event


Time in:     Time out:

Start time of the event:

Facility(ies) requested:


Would you like this activity listed in the Image?    Yes    No

Anticipated attendance:              University account number:



Outside Organization Information

Facility Fee: $0.50 per person

Outside Organization Name:

Person to be billed:

Name of contact person:

Email address:

Contact person's phone number:

Contact person's address (include city, state and zip code):

Event description: Please be as specific as possible!


Who may attend?         Admission fee

Please list any audio visual requirements


Food service instructions see Catering guide


Serving time

Extra table cloths     Color napkins

Special setup instructions



Special setup for physical plant

By submitting this request, I or a representative will coordinate and attend event(s) the student organization is sponsoring

Return to:   Room Reservation Instructions        Conferences and Special Programs Home Page

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Updated February 9, 2006