Student Organization and Department Facility Request Form

First Name:

Last Name:

Email:

Please use a valid Blinn email address.

Please use a valid email address.

Verify Email:

Recaptcha items that should be ignored

Phone Number:

Onsite Contact Person :

Onsite Contact Person Phone Number:

Event Name:

Event Type:

Approximate Number of Attendees:

Does this event repeat?

Repeats for how many days?

Last day of recurrence:

Date of Event:

Start Time of Event:

End Time of Event:

Add Date/Time Fields Remove Date/Time Fields

Campus Event:
Brenham
Bryan
RELLIS

Facility Selection:

Type other facility

Will you be using Blinn College Food Services?
Yes
No

Please contact Food Services at 979-209-7465. You are responsible for contacting Food Services.

Will there be commercial advertising?
Yes
No

Describe Advertising

Will there be minors (under age 18) participating in this event?
Yes
No

Will there be an admission charge for participants?
Yes
No

Will dignitaries be in attendance?
Yes
No

Affiliation:

How is the event connected to the club's purpose?

Type of Tables:
Round (Fits up to 8 chairs)
Rectangular (Fits up to 6 chairs)
No Table

Number of Tables:

Number of Chairs:

Please Describe the Layout

Please remove any special characters, email addresses, and URLs.

Describe Event and Provide Additional Comments

Please remove any special characters, email addresses, and URLs.

The Blinn College District is accredited by the Southern Association of Colleges and Schools Commission on Colleges (SACSCOC) to award associate degrees. The Blinn College District also may offer credentials such as certificates and diplomas at approved degree levels. Questions about the accreditation of the Blinn College District may be directed in writing to the Southern Association of Colleges and Schools Commission on Colleges at 1866 Southern Lane, Decatur, GA 30033-4097, by calling (404) 679-4500, or by using information available on SACSCOC's website (www.sacscoc.org).

The Blinn College District does not discriminate on the basis of race, color, national origin, sex, or disability. For information regarding Title IX, ADA, Section 504, and other anti-discrimination coordinators, see the Student Title IX page.