Report • CampusOptics

Reporter Info

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Location

Name* Required

Additional Location Details

Exact Location

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Event Information

Name of Student Organization, Group, or University Department* Required

Affiliation

Is this a student organization* Required

Is this a University Registered student organization?* Required

If this a University Registered student organization, have the organization received approval from the Vice President overseeing this group?* Required

If approved by the Vice President overseeing this group, who will be the Sponsor or Advisor throughout the duration of this event??* Required

Sponsor or Advisors Cell Phone Number* Required

Which University Department is requesting this event?* Required

Who is the University Department Director or Approved Associate requesting this event?* Required

Is this a Non-University Affiliated Organization or Group?* Required

What is the name of the Non-University Affiliated Organization or Group?* Required

If this is a Non-University Affiliated Organization or Group which Vice President approved the event??* Required

Event Description

Name (Title) and description of the event at which alcohol will be served?* Required

Event Date* Required

Event Start Time* Required

Event End Time* Required

Event Location* Required

Expected Attendance* Required

To whom is the event open for attendance?* Required

If Other: Please describe who will attend the event.* Required

Will alcohol be served?* Required

If alcohol is served, will persons under the lawful age of 21 be permitted to attend?* Required

Will alcohol be served at "no charge" or fees charged?* Required

If alcohol is served for a fee, please identify the licensed server.* Required

Please identify the servers TABC license/permit number.* Required

Please identify the licensed servers certificate/license date of expiration.* Required

If alcohol is served: Will non-alcoholic beverages be available, other than water, at no cost?* Required

Will food items be available for this event? If yes, has the Food Serving Permit been completed?* Required

If food is served, what types of food will be available while alcohol is being served?* Required

Will an admissions charge be required for this event?* Required

If YES. will any portion of the admission charge be used to pay for the guest's access to alcoholic beverages?* Required

What types of alcohol will be served?

Beer

Wine

Mixed Drinks

How long will alcohol be served and from what times? (ex: 2 hours from 7pm-9pm)* Required

Compliance Acknowledgements

Advertising shall not promote the irresponsible use of alcohol. Publicity shall not advertise alcohol as a main attraction.* Required

The sale of alcoholic beverages is prohibited except pursuant to a valid license or permit for cash sales issued by the Texas Alcoholic Beverage Commission (TABC). Server Requirements:.* Required

All Servers must be TABC certified

Servers are prohibited from consuming alcoholic beverages during the event.

Servers are required to verify legal age in accordance with T ABC guidelines. Legal age drinkers may be further identified by the use of a hand stamp, wristband, or other ID.

Servers shall refuse service to any person who appears to be intoxicated, incites a verbal or physical altercation or who lacks proper identification for proof of age.

The sponsoring host reserves the right to take appropriate action to resolve the situation, including contacting security or suspending the serving of alcoholic beverages.

Non-alcoholic beverages shall be made available while alcoholic beverages are being provided. If alcoholic beverages are being distributed free, then nonalcoholic beverages other than water must be available at no charge.* Required

When alcohol is being served, food items in reasonable quantities for the number of persons expected to attend shall be made available either free or at reasonable cost.* Required

Alcoholic beverages cannot be brought into or out of events by patrons.* Required

If the event is open to the public or student population, signage with a minimum of 3" letters shall be posted in the serving area stating · 'NOTICE - No drinking under 21" or words to that effect.* Required

The Provider will be required to provide a certificate of insurance including General Liability and Liquor Liability coverage in the amounts specified, if indicated on the Application. The Provider shall deliver the following to Business Services, upon Application approval, at least 5 business days prior to the event:* Required

Alcohol License or Specific Use Permit (caterer's permit, on-premise license, or mixed beverage license as required).

Certificate of Insurance with:

Commercial General Liability coverage of $1,000,000 per occurrence and $2,000,000 in the aggregate.

Minimum $1,000,000 Liquor Liability Insurance coverage and $2,000,000 in the aggregate.

Naming of University as Additional Insured on each policy.

The Sponsor shall arrange for campus security for the duration of the event if the event is opens to the public or if it includes students. Security should arrive 30 minutes prior to the event and stay until 30 minutes after the event.* Required

The student group's sponsor/advisor shall be present at student events for the entire duration of the event.* Required

The serving of alcoholic beverages shall not begin before 5PM and must stop at least thirty (30) minutes prior to the end of the event.* Required

All alcoholic beverages must be removed from the premises upon event conclusion.* Required

The Sponsor and Provider will agree to leave the distribution site as it was found, cleaning up trash, etc.* Required

List Requested Exceptions (if any).* Required

I have read University Policy A-4 I governing alcoholic consumption at approved events on University property. I acknowledge that the information in this agreement is complete and correct and I agree to comply with federal, state and local laws regarding the distribution, possession and consumption of alcoholic beverages, including the conditions in this application. I understand that this application does not confirm room reservation or security arrangements.* Required

Accepted Provider

Name of Licensed Food Handler* Required

Food Company Provider's Phone Number* Required

Food Company Provider's Email Address* Required

Date of Form Completion* Required

Event Approved By:

Approved by:* Required

Title* Required

Date* Required

Fire Marshal Approval* Required

Law Enforcement Approval* Required

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