Activity Proposal Memo - Diablo Valley College

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Diablo Valley College
Student Life Office
Student Life Office
Received Date
Stamp Here
Activity Proposal Memo
Instructions: This memo must be submitted to the Student Life Office prior to submitting an Activities Request Form.
PLEASE TYPE OR PRINT LEGIBLY. Further guidance regarding necessary forms and next steps will be
sent to the applicant via email approximately 2 business days after submission (NOTE: Fridays are
not considered business days).
Date:
Who:
Club/Organization Name: __________________________ Club/Organization Advisor(s): __________________________
Applicant Name:
Primary Phone:
Email:
@insite.4cd.edu
(DVC Insite Email is required)
Co-Sponsorship with another club/department?
No
Yes, list name(s):
(i.e., Will any club or outside agency be assisting with financial support, promotions, volunteers, etc.?)
What:
Title of Event:
Food?
No
Yes ---> If ‘yes’, specify if using on or off campus catering:
Financial Transactions?
Yes
No
(i.e., ticket sales, entry fee, use of club/organization funds to purchase food, supplies, etc.)
Fundraiser?
Yes
No
Media Needs?
Yes
No
When: Proposed date(s) and time(s):
Where: Desired Location (on or off campus):
How:
Funding needs (Check all that apply):
None
Club funds
ASDVC funds
ICC funds
Brief description of expected costs:
Why:
Purpose of event (how does event relate to purpose of the club):
[REVISED].docx
S:\StudentServices\StudentLife\Activities Coordinator\Club Related FORMS\Activity Proposal Memo SP14
Rev. 2/2014
Diablo Valley College
Student Life Office
Student Life Office
Received Date
Stamp Here
Activity Proposal Memo
Instructions: This memo must be submitted to the Student Life Office prior to submitting an Activities Request Form.
PLEASE TYPE OR PRINT LEGIBLY. Further guidance regarding necessary forms and next steps will be
sent to the applicant via email approximately 2 business days after submission (NOTE: Fridays are
not considered business days).
Date:
Who:
Club/Organization Name: __________________________ Club/Organization Advisor(s): __________________________
Applicant Name:
Primary Phone:
Email:
@insite.4cd.edu
(DVC Insite Email is required)
Co-Sponsorship with another club/department?
No
Yes, list name(s):
(i.e., Will any club or outside agency be assisting with financial support, promotions, volunteers, etc.?)
What:
Title of Event:
Food?
No
Yes ---> If ‘yes’, specify if using on or off campus catering:
Financial Transactions?
Yes
No
(i.e., ticket sales, entry fee, use of club/organization funds to purchase food, supplies, etc.)
Fundraiser?
Yes
No
Media Needs?
Yes
No
When: Proposed date(s) and time(s):
Where: Desired Location (on or off campus):
How:
Funding needs (Check all that apply):
None
Club funds
ASDVC funds
ICC funds
Brief description of expected costs:
Why:
Purpose of event (how does event relate to purpose of the club):
[REVISED].docx
S:\StudentServices\StudentLife\Activities Coordinator\Club Related FORMS\Activity Proposal Memo SP14
Rev. 2/2014
If you have any questions about this form or your proposed activity, please call 925-969-4267 or stop by the Student
Life Office during business hours.
[REVISED].docx
S:\StudentServices\StudentLife\Activities Coordinator\Club Related FORMS\Activity Proposal Memo SP14
Rev. 2/2014
OFFICE STAFF USE ONLY
MEETING NEEDED:
No
Yes
Yes  MEETING DATE/TIME:
MEETING SCHEDULED:
FORMS NEEDED:
Activity Request Form
Deadline: _________________
Received: _________________
Cash Handling Forms/Checklist
Deadline: _________________
Received: _________________
ASDVC/ICC Funds Request Form
Deadline: _________________
Received: _________________
Budget Breakdown
Deadline: _________________
Received: _________________
Temporary Food Permit
Deadline: _________________
Received: _________________
Conference Attendance, College Medical, Consent & Release Form
Deadline: _________________
Received: _________________
Voluntary Activities Participation Form
Deadline: _________________
Received: _________________
Student Union Building Use Form
Deadline: _________________
Received: _________________
Logo/Art Work to be approved
Deadline: _________________
Received: _________________
MEDIA/FACILITIES NEEDED:
No
Yes
INITIAL HEADS-UP: __________________________
FORM SUBMITTED: __________________________
DETAILS:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
DENIED
Yes
No
DENIAL REASON:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
PENDING APPROVAL
Yes
No
DETAILS NEEDED: ______________________________________________________________________________________
______________________________________________________________________________________________________
STATUS NOTIFICATION DATE : ___________________________
[REVISED].docx
S:\StudentServices\StudentLife\Activities Coordinator\Club Related FORMS\Activity Proposal Memo SP14
Rev. 2/2014

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