This form is intended to assist groups in the development of required safety plans for events sponsored by Recognized University entities and/or event held on campus. Examples of these events include 5ks, Tournaments (football, basketball, dodgeball, kickball), Pie a person, obstacle courses, aquatic events, large gatherings, etc.
Name of IUP Recognized Sponsoring Group
Full Name of Person Submitting Form
Address Line 1
Address Line 2 (Optional)
IUP Email Address
On-Campus Address/Office Line 1
On-Campus Address/Office Line 2 (Optional)
Time Beginning (Doors Open)
Time Beginning (Event Start)
Describe The Purpose & Type of the Event in Detail
Name of Campus Facility/Space
Memorial Field House
Grant Street Park
Stadium Practice Field
If Other, Specifiy the name of Campus Facility/Space
Collecting Money/Distribution of Prizes
Estimated Number of Guests
Who May Attend This Event? (Click All That Apply)
List The Names and Contact Information of Any Performers
The University's agreement with IUP Dining provides that they will be the exclusive caterer of food and beverage service on campus.
Will Food Be Served?
If yes, who will the food service be provided by?
If other, please explain.
*Please Note: If food is being provided by off campus vendors, or a student organization, you must submit a food/alcohol/refreshment(FAR) form at least 7 calendar days prior to the event date.
Is the entertainer bringing security?
If yes, provide contact's name and contact number.
Are you requesting university police staffing?
Upon review of this event, university police may require police staffing.
How will security communicate with the event coordinator(s) and the IUP PD during the event?