Alcohol Beverage Service Permit
Alcoholic Beverage Service Request Form
Application Details
Organization
Name (Person In Charge)
Email (Person In Charge)
Phone (Person In Charge)
UIC Sponsoring Unit
Name of Unit Head Or Faculty/Staff Sponsor
Email of Unit Head Or Faculty/Staff Sponsor
Event Name
Event Purpose
Development
Conference/Convention
Cultural
Educational
Event Type
UIC Student
Faculty
Staff
Non-UIC
Type of Beverage or Type of Bar Service
Beer
Wine
Alcoholic Punch
Wine Punch
Full Bar Service
Cash Bar
Other
Event Date
Event Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Event Begin Time
Event End Time
Space Reserved
Venue
Other
CU1 Arena
Forum
Room
Estimated Attendance
Will everyone in attendance be at least 21 years old?
Yes
No
What measures will be taken to maintain acceptable behavior and compliance with laws and university rules?
Will there be non-University of Illinois at Chicago attendance?
Yes
No
If tickets are sold and/or an admission fee is required/requested, how will the funds be used?
What will be done if there is income in excess of the event expenses?
Will there be a program or entertainment?
Yes
No
Will this event be advertised?
Yes
No
What will be the source of funds to purchase alcoholic beverages?
Will the event be catered by UIC Catering?
Yes
No
What type of food service has been requested from Catering?
Meal
Refreshments/Snacks
Other
Have alcoholic beverages been ordered from Catering?
Yes
No