Loker Student Union | Facility Access Form

Facility Access Request Form

Please complete this form to request access to the LSU on behalf of a vendor or contractor completing work in the facility.
For campus and/or auxiliary personnel requesting access to the LSU, please complete the Temporary Return to Campus Request Form.

Department*
- Loker Student Union (LSU)
- Associated Students Inc (ASI)
- Black Resource Center (BRC)
- Campus Dining
- Multicultural Affairs (MCA)
- Office of Student Life (OSL)
- Queer Culture Resource Center (QCRC)
- Toro Dreamers Success Center (TDSC)
- University Bookstore
Contact Name*
First Last
Contact Email*
Vendor/Contractor Information
Company Name*
No. of People On-site*
List all personnel to be on-site. Please note any individuals not listed, will not be provided access.*
Scope of work to be performed. Please indicate the reason for the facility access request.*
Request Date(s)/Time(s)
List all dates, start and end times needed. Please note dates and times must be within current operating hours.
Date
MM slash DD slash YYYY
Start Time

: Hours

Minutes

AM/PM
End Time

: Hours

Minutes

AM/PM
Date
MM slash DD slash YYYY
Start Time

: Hours

Minutes

AM/PM
End Time

: Hours

Minutes

AM/PM
Need to request a period of time? You may do so by filling this section out.
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Start Time

: Hours

Minutes

AM/PM
End Time

: Hours

Minutes

AM/PM
Additional comments/notes.

Audited Reports	990 Forms
Audit Report (June 30, 2016)	Coming Soon
Audit Report (June 30, 2015)	Coming Soon
Audit Report (June 30, 2014)	Form_990_2014
Audit Report (June 30, 2013)	Form_990_2013
Audit Report (June 30, 2012)	Form_990_2012

Facility Access Request Form

Vendor/Contractor Information

Request Date(s)/Time(s)

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