Self Auditorium Reservation Form Please fill out all applicable fields. Review the Self Auditorium Facility Use Policy for additional information.Billing Rates (Student Org $25 per hour; Departmental $100 per hour)Customer Contact InformationStudent Organization (if applicable) Student Organization Website Department/Organization Department Number 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 FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin 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(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) 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. Number of Attendees(Required) 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? MM slash DD slash YYYY Time Hours : Minutes AM/PM AM PM AM/PM Catering will be picked up/cleaned up on what date? MM slash DD slash YYYY Time Hours : Minutes AM/PM AM PM AM/PM Are you serving alcohol?(Required) Yes No Tech SupportCCIT Classroom Tech provides support for the podium and associated audio-visual components. If you would like to schedule a demo or practice session, please contact your events coordinator. 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. After the event, you will receive an invoice and payment can be made in the Clemson University Marketplace.(Required) Yes Δ
