Before Completing This Form, Those Requesting a Booking Must, Refer to the Hub Booking

Before completing this form, those requesting a booking must, refer to the Hub Booking Procedure & Booking Conditions and Hub Conditions of Use.

Nature of the person requesting the booking (tick the relevant box)
a) University Department
b) External Company
c) Individual Request
Name of organiser:
Name of University Department/Company
Email address:
Mobile Number:
Proposed date: / Proposed start and finish times:
Proposed venue:
Title of the meeting, event or other activity:
Nature of the meeting, event or other activity: / (give all information which will be relevant to the Union’s decision whether or not to confirm the booking)
Will you require food? / YES: / YES / NO:
If you require additional AV equipment please specify:
Is the meeting, event or activity of a religious or belief nature or does it concern a religion or belief? / YES: / NO:
If yes, please specify any relevant religion or belief below:
Is the meeting, event or activity of a political nature or does is concern politics? / YES: / NO:
If yes, please specify any political party:
Name of individual, position, or description of individual chairing or otherwise directing the meeting, event or activity:
Who will be attending the meeting, event or other activity and expected no of attendees in each case.
Who will be attending (tick all relevant boxes) / Expected no of attendees:
Union activity members
ULU members
Members of the public
Other (please specify) ......
Does your event have an external speaker? / Yes: / No:
If you are having an external speaker please provide information below.
Name of speaker(s):
Organisation(s) they represent, are affiliated to or associate with:
Subject matter(s) any external speaker(s) will be speaking about:
Has any external speaker referred to attracted controversy in the past? If so, please give details:
Website(s) providing further details of any external speaker referred to:
Any other information which may be relevant to the Union and/or the University’s risk assessment?
Is it likely to attract media interest? If so, why? Specify the likely media concerned.
If the meeting, event or activity involves working with adults at risk or children, give full details of arrangements made or to be made to ensure:
Guidance on these aspects can be obtained from Sarah Gifford on
All appropriate CRB disclosures are obtained
All appropriate safeguarding procedures in place and are implemented
Appropriate risk assessments are carried out
In submitting this booking form, the person requesting the booking and the organiser on their behalf:-
1)  confirm(s) that all information given in this form and in all supporting information is complete and accurate in all respects;
2)  agrees to comply in all respects with the Hub Booking Procedure & Booking Conditions;
3)  agrees(s), if the booking is confirmed, to comply with the Hub Conditions of Use and all other conditions or regulations imposed in relation to the booking or otherwise applying to the relevant meeting, event or activity;
4)  agrees, if the booking is confirmed, to ensure that all those involved in the meeting, event or other activity are aware of the conditions referred to at 3) above and comply with them where relevant.
5)  Will ensure all publicity is approved by the relevant activity manager.
In signing this booking form, any organiser confirms he/she is duly authorised to sign and submit this application on behalf of the person requesting the booking.
Signed by the person requesting the booking or on their behalf by the organiser
Signature: / Date:
Print name: / Position/Title:

This form and all accompanying information/documentation should be submitted to the Hub Reception during Reception opening hours

The Union confirms receipt of the booking form. This is not a confirmation of the booking being approved.
Date and time:
Signature: / Reference Number:

Final V1 – 15th November ‘12