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Department of Student Affairs
A.T. Still University Home

On the Kirksville Campus

About Campus : Emergency/Compassion Grants : Health & Wellness : Housing : Life in Kirksville : Student Leaders & Organizations : Students with Disabilities : Thompson Campus Center : Tutoring : Mothers Nursing Suite : Campus Crime Report

Centennial Commons Lease Agreement

ATSU Facilities : Anatomy Lab Schedule : Bookstore : Check Cashing/Stamps : Computer Help Desk : Library : Lockers : Mailroom : Museum : Phones : Security : Student Recreation Lounge : Student Study Areas : Thompson Campus Center (TCC)

 

Date of Reservation

Representative’s name

Company/organization

Address

City State  Zip

Phone number

Email

Event name and description

Date requested
 

Begin time
a.m. or p.m.

End time
a.m. or p.m.

I am requesting approval for a vendor to serve food and non-alcoholic beverages in the Commons. 

The vendor being used is

Vendor’s phone

Vendor’s email

I am requesting access to the additional, secure kitchen space so I can use the refrigerator/freezer and sink with running water.

Special request for type of decorations prepared

Menu for the event is

I acknowledge that I have received the key to the secure kitchen with refrigerator/freezer and sink with running water, located at the Commons, and that I must return it to Student Affairs Office the first working day following the event. 

My name below indicates that I agree to the terms and conditions given to me and that I am authorized to accept them on behalf of the company or organization listed.

Your Name

Today's Date

On behalf of (company/organization)

 

 

Department of Student Affairs
A.T. Still University
800 West Jefferson Street
Kirksville, MO 63501
Phone:  660.626.2236
Fax:  660.626.2481
Email: mostudentaffairs@atsu.edu