Office of Student Engagement and Leadership (SEAL)
Student Clubs and Organizations
GSU Box 4134 • Favrot Student Union, 218 Office (318) 274-3334 (318) 274-3351
Activities/ Fundraisers Clearance Form
This form must be completed and approved at least 2 weeks prior to the student organization
activity/fundraiser. Please do not advertise or solicit donations before you receive approval.
Club/Organization Name: ______________________________________________
Name of Activity/Fundraiser: _______________________________________________
Date(s): Time(s):
Off Campus Location or if Virtual app utilized log on information code:
__________________________________________________________________________________
If event is On-Campus, do not complete this form, please contact Reservations office at X3298 for
Reservation/Clearance form.
Organization President Information
Name: Phone Number: Email Address:
Organization Advisor Information
Name: Phone Number: Email Address:
Please Note: All fundraisers/activities must be presented for prior approval. Funds must be paid directly
to the student organization account. If organization does not have an organization account, please
apply in the Office of the Controller.
Describe fundraiser and how funds will be collected and used:
Please provide accounting of funds raised, cost of event, and fund balance after all expenses and
amount deposited into organization account.
Please check off the appropriate box(es) below. These services are needed for a successful event.
Marketing/Public Information: Flyers, web address copy of email and other promotion material must
be submitted for approval to favorsc@gram.edu or contact X6120 VP Student Affairs’ office for stamp.
COVID-19 safety precautions to be taken to ensure safety of attendees (please give number of
attendees for your off campus in person event:
_____________________________________________________________________________________
_____________________________________________________________________________________
Security for Off-Campus Event will be provided by: ______________________________________
Contact Information__________________________________________________________________
Campus Police: Please contact the Campus Police Department at (318)274-2222 to inform them of any
on-campus activity, assist with parking issues, and possible extra security, for campus events.
Advisor’s Signature ____________________Date____ President’s Signature _________________ Date
Student Organization Official Signature _______________Date ____ ( ) Approved ( ) Not Approved
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