Alcoholic Beverage Service Request Form

Application Details

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

Event Type

Type of Beverage or Type of Bar Service

Event Date  
Event Day  
Event Begin Time  
Event End Time  

Space Reserved

Estimated Attendance  
Will everyone in attendance be at least 21 years old?  
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?  
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?  
Will this event be advertised?  
What will be the source of funds to purchase alcoholic beverages?  
Will the event be catered by UIC Catering?  
What type of food service has been requested from Catering?

Have alcoholic beverages been ordered from Catering?