On-Campus Risk Assessment

This form is for staff or faculty planning or organizing an on-campus event.

Please submit this form at least 2-3 working days prior to your event date to allow adequate time for a risk assessment. Keep in mind that higher risk activities may need more time for risk mitigation/approval. Examples of higher risk activities include athletic activities, car bashing, dunk tanks, inflatables, events open to the public, and events with minors.

If you need to reserve a room for your event please contact Event Planning.

Name of Event/Program:*
Department / Sponsor:*
Location of Event:*
Minors?*
Start Date:
MM slash DD slash YYYY
End Date:
MM slash DD slash YYYY
Description of Program/Event:*
Please give a detailed description of this program/event.
Additional Comments:
Contact Information
Name:
First Last
Email:*
Phone: