Request for Waiver of University Facility Rental Charge

Please complete this form and obtain approvals prior to the event (a minimum of 14 days advance notice is preferred). Electronic approvals via email are acceptable. Once approved, please provide a copy to the area(s) assessing the charge. If a parking waiver is requested, please also provide a copy to Business Operations & Auxiliary Services (meeksa@nku.edu) and they will contact you.

Your Name: Date of Event: Start Time of Event: End Time of Event:

Name and Description of Event:

University department hosting / organizing the event:

If applicable, internal or external sponsor(s) or co-sponsor(s):

Facility and room(s): Rental charge:

# of external attendees anticipated:	Parking waiver requested: Yes	No

Type of Event:	External Commercial (VP approval required)

Non-Profit / Regional Stewardship (Dean/Director approval required)

(Pick One) Category of Strategic Areas for Public Engagement Activities from Digital Measures (Double Click gray box to pick Drop Down Item):

Student (Dean/Director approval required)

Internal Commercial (Dean/Director approval required)

Please describe how the event advances the mission of the university (additional information may be attached):

Will this event generate revenues in excess of direct costs or result in financial gains by any department/organization/individual hosting the event, or any individual, either directly or indirectly, associated with the department/organization/individual hosting the event, or any university faculty, staff, students, parents of students, prospective students, alumni, major donors, university related foundations, and others normally considered a part of the university community? Yes No

If yes, please provide more detailed information (additional information may be attached).

I approve a full waiver of the appropriate facility rental charge for this event.

Signature: _______________________________________________________________ Date: ______________