Pierce College Puyallup Student Life
Table Request Form
This is for off campus, campus organizations, or student initiatives.
Date: Requested By: _____
Are you a: Pierce College Student Non Student
Sponsoring Individual/Organization:
Contact Information: _____________________________________
Activity, Issue, or Initiative Name: ___________________________________
________________________________________________________________
Table Request (#) _____ Wifi needed? Yes___ No____
Date Requested: Duration:
Activity Description (gathering information, disseminating information, etc…):
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
The signature below verifies that I will abide and follow the Off Campus Vendor or Organization
procedures. I understand that if I fail to abide by the procedures that it may result in facility use
being revoked.
____________________________________ _____________________
Requestor Date
____________________________________ _____________________
Director of Student Support Services & Student Life Date
Updated 7.10