UPPS No. 07.03.02, Request for University Resources

Attachment I

REQUEST FOR UNIVERSITY RESOURCES

			Requesting Department:  _____Continuing Education
						_____Athletics

Name of Program _________________________________________________________
Sponsor (Contact Person) ________________________________________________
Address/Department ______________________________________________________  
Work Telephone No. __________________Home Telephone No. _________________

DATES

Group 	Check-in Date:  _______________  Check-out Date: ________________
        Check-in Time:  _______________  Check-out Time: ________________

Sponsor Check-in Date:  _______________  Check-out Date: ________________
        Check-in Time:  _______________  Check-out Time: ________________

HOUSING: Total Expected numbers: ____________ (Male____ Female____)

	Number of double rooms requested:   _____ RATES: _____ Youth
	Number of private rooms requested:  _____	 _____ Regular
							 _____ No Charge
	Maid Service:  _____ NO  _____ YES		 _____ Other $____
	Hall requested:  ____________________

	Special Needs: ___________________________________________________

		       ___________________________________________________

LINENS:	Linens requested:   _____ NO   _____ YES
	
	Number of linen sets requested: __________________________________

MEALS: 	First Meal:  Breakfast _____ Lunch _____ Dinner _____ On: ________

	Last Meal:   Breakfast _____ Lunch _____ Dinner _____ On: ________

	Special Meal Functions: __________________________________________

				__________________________________________
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Distribution:	____Auxiliary Services
		____Residence Life
		____Food Service		Housing Assignment:
		____Custodial			__________________________
		____University Police		__________________________
		____News & Information
		____LBJ Student Center
		____Health Center