Student Center Operations
General Activity Request Form (GARF)
(Revised February 2013)
Norfolk State University
Important Notes:
1. All media equipment request (i.e. VCR, TV, Overhead Projector, Screen) MUST be made directly through the Office of Information Technology (OIT) ext. 2898 or osmith@nsu.edu at least seven (7) days prior to the event.
2. All facility requests for the Wilder Center MUST be made directly through the Wilder Administrative Office @ ext. 2061.
3. All facility requests for Scott Dozier and/or catering MUST be made directly through Catering Services @ ext 8304.
4. Microphone Service request after 5:00 pm or on Weekends must be prepaid to Facilities Management @ ext 2451 prior to approval of GARF request.
5. Requests for use of Robinson Technology Center must be made through College of Science, Engineering & Technology @ ext 9446.
6. Non Pepsi products are not allowed on NSU campus.

Note: * indicates required fields.
Organization/Department:*    Student Organization Advisor:   
Description of Activity:*    Phone:*
Date(s) of Activity: *      Additional Dates of Activity:
Event Start Time:* Event Stop Time:*
Reservation Start Time:* Reservation End Time: *
Facility Desired:*    Room Desired:*

Faculty/Staff/Organization President responsible for Activity:
Name:*     Phone:*    Fax:
Email:*     Re-confirm Email:*

If guest speaker will appear at the activity, complete the following information:
Name of Speaker/Performer(s):    Title or Position:
Name of Organization Speaker represents:    Topic to be discussed:
If film is being shown, give the title here:

Will D.J. Services be used or Music be played during this event? * Yes     No
Will there be an Admission Charge? * Yes     No    Admission Charge: $
The Student Center Operations requires student organizations to donate 25% of the proceeds to Norfolk State University Office of Advancement Scholarship Fund and agree to pay Campus Police for additional security.

EQUIPMENT NEEDS:
 QuantityYesNo  QuantityYesNo  QuantityYesNo
Chair(s) Microphone(s) Projector & Screen
Table(s) Lectern(s) Computer
Please List other special needs: