Self Auditorium Reservation Form Please fill out all applicable fields.Customer Contact InformationStudent Organization (if applicable) Student Organization Website - enter a valid website URL for example https://www.google.com Department/Organization Department Number Account String Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Emergency Phone(Required)Email(Required) Event InformationEvent Name and Description(Required)Are you providing a guest or a key note speaker? If so, please provide name and title. Event Date - must be mm/dd/yyyy format(Required)Please note that Self Auditorium is not available for home football games. MM slash DD slash YYYY Event Start Time(Required) Hours : Minutes AM/PM AM PM AM/PM Event End Time(Required) Hours : Minutes AM/PM AM PM AM/PM If multiple dates/times, add here(Required) Number of Attendees up to 50 51 - 100 101-150 (may require special permission) 151-200 (may require special permission) 201-250 (may require special permission) 275 (maximum; may require special permission) If you need access to the facility prior to the event, please indicate the time here. Security will be automatically scheduled 30 minutes prior to and following your event. Attendees Include (check all that apply)(Required) CU Students CU Faculty/Staff General Public MarketingFeel free to upload a marketing plan or promotional materials if you would like for the event to be publicized through library channels or calendars.Max. file size: 12 MB.CateringIs your event catered? Please remember that Clemson University contracts with Aramark for all catering services. Yes No Catering will be delivered on what date? - must be mm/dd/yyyy format MM slash DD slash YYYY Time Hours : Minutes AM/PM AM PM AM/PM Catering will be picked up/cleaned up on what date? - must be mm/dd/yyyy format MM slash DD slash YYYY Time Hours : Minutes AM/PM AM PM AM/PM Are you serving alcohol?(Required) Yes No Tech SupportGeneral tech support is provided for the podium, projector, and screen. Are you contracting with an outside vendor for additional audio/visual or tech needs?(Required) Yes No If yes, please provide the vendor name and if additional set up time is required. Additional Comments and Questions?I have read and understand both the Self Auditorium Facility Use Policy and the CU Facility Use Policy and agree to follow such.(Required) Yes Δ
