Accommodations Request Campus Event

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Campus Event Accommodation Request Form

Accommodation(s) Requested *

Requester's Information

First Name *

Last Name *

Department *

Email *

Phone Number *

Contact Person During Event If Different Than Requester:

Name

Department

Phone Number

Student's Name, ID and Contact *

(If there are multiple students, list all.)

Event Name *

(only one event per form)

Event Description *

Event Location *

Check In Location *

Video Link *

Date of Event *

Month

Day

Year

Arrival Time *

Hour

Minute

Start Time *

Hour

Minute

End Time *

Hour

Minute

Accommodation Description *

Location of Furniture or Seat at Event *

Billing

Worktag

Additional Comments *

You will be contacted within 3 business days. If you have any questions, please contact IVC Accommodations at (949) 451-5811 or ivcaccommodations@ivc.edu.

Leave this field blank