Appendix  G 
UVI Student Activities: Revised Fall 2008 
 
 
 
UNIVERSITY OF THE VIRGIN ISLANDS 
OFFICE OF STUDENT ACTIVITIES 
 
FACILITIES RESERVATION FORM 
 
Name of Person Making Request: 
 
 
Sponsoring Department or Organization: 
Email Address: 
 
 
Telephone Number: 
Space Requested: 
 
 
Date(s) and Time: 
Type of Activity: Informational meeting etc 
 
 
Est. Attendance 
Special Arrangements/Requests: 
 
 
 
FEE FOR USE OF 
FACILITIES __________ DAMAGE/CLEANING DEPOSIT __________TOTAL __________ 
 
Please note the following University regulations: 
 
 
REFRESHMENTS are not allowed in any room having carpet on the floor (classrooms, lounges, 
theater, and library).  If there are refreshments breaks connected with your activity, they should be served 
in the appropriate designated area. 
 
 
FURNITURE may not be moved in any room, balcony or other area.  If additional furniture is 
needed to rearrange for your activity, please indicate above under “Special Arrangements”.  If you would 
like to rearrange the furniture in a room, you may do so provided that the furniture is returned to its original 
arrangement after the activity. 
 
 
SIGNS, poster or materials of any kind may NOT be attached to the walls, windows or outdoor 
wooden columns.  The University’s windows are treated with solar film, which would be destroyed by tape 
applied to it. 
 
______________________________ 
__________________________________________________ 
 
       Date 
 
 
      (Approved) University of the Virgin Islands 
 
DISTRIBUTION: 
 
Person Making Request     Office of Public Information 
Security Supervisor