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The CBC Facilities Cancellation Form:
This cancellation form must be completed by all Student Organizations that participate in the Center for Black Culture's date policies and procedures regardless of where the event is to take place. This cancellation form needs to be completed by organizations at least two weeks prior to the event. It also needs to be used when cancelling the reservation for space in the Center for Black Culture, in addition to cancelling the organization's event or date use. The following policies apply to all reservations:
» Center for Black Culture Policies and Procedures
(click to display).
Symbol Key:
Required Information,
Error
Contact Information:
Your Name:
Campus Phone:
(555-123-4567)
E-mail:
Event Information:
Name of Program or Meeting:
Sponsor Organization:
Event Contact Person:
Contact Phone:
(555-123-4567)
Contact Address:
Date of Event:
(MM/DD/YYYY)
Type of Event:
Meeting
Presentation
Conference
Other
Start Time:
AM
PM
End Time:
AM
PM
Reason for Cancellation:
Comments:
Important:
This request is not considered valid until you have received a written confirmation via email from a representative of the Center for Black Culture.
Statement of Responsibility:
I certify that I am an authorized representative of the sponsoring organization/department and have familiarized myself with the University policies regarding this program. My organization will be responsible for adhereing to these policies and for any damage to the facility and its contents.