Event Management Agency Request Form

About the Requestor

Contact person:

Organization or Department:

Email address:

Cellphone or Telephone number:

University account number to charge:

About the Event

Name of event:

Location of event:

Start date:

format: mm/dd/yy

End date:

format: mm/dd/yy

Start time:

End time:

Planned attendance:

Will alcohol be present?

Event Management Agency Support Needed

Manpower requested:

Public Safety will review your request and determine the number of personnel that need to be assigned on an individual basis, contingent upon size and scope of the event, where it is held, whether non-Bucknell students will be present, and other pertinent information. However, if you already have suggestions about the agency support you'll need, please indicate it below.

NOTE: Costs below are estimated. After Public Safety reviews this Event Management Agency Request Form, a Cost Estimate form will be sent to the event organizer within 3 business days for approval and response. The Cost Estimate form must have the signature of the account manager and the event organizer prior to being re-submitted to Public Safety.

Bucknell Public Safety – $30 per/hour
# of people for # of hours

Event Staff – $16 per/hour
# of people for # of hours

Outside Security – $20 per/hour
# of people for # of hours

Buffalo Valley Regional Police Department – $35 per/hour
# of people for # of hours

Union County Sheriff's Department – $30 per/hour
# of people for # of hours

Barricade set-up/tear down – per diem
# of people for # of hours

Special requests: