Date Initiated:
RSO’s initiate this form in the Ctr. For Student Development
as part of Event Development (must be 4 weeks prior to event date)
For use by Registered Student Organizations (and other qualified groups)
CHECK ONE:
RSO GSO Agency Cultural Center CSD Other: ______
Group Name: / Advisor’s Name & Email:RSO Event Number: / Event Name:
Group Contact (name): / Contact Email:
Contact Ph.#: / Date & Time of Event:
Location: / Expected Attendance: / Who will attend:
Describe Event in detail:
VENDOR Information * Certificate of Insurance from caterer must be submitted with this application
Name of Vendor providing food: / Contact (name):Address: / Phone #:
Main Food/Beverage items to be served:
*(attach second sheet for list of ingredients and additional vendors)
Serving time:
Reason for Food Waiver Application:
*(see page 1 for criteria)
Approved: / Denied: / Date:
Jennylyn Fountaine Director of Sales and Marketing, 817 Campus Center (577-8094)
Approved: / Denied: / Date:
Larry Davis Environmental Health & Safety, 304 Draper Hall (545-2682)
Reason for Denial/Comments:
LIST OF MAIN INGREDIENTS IN EACH FOOD ITEM
FOOD ITEM:INGREDIENTS
FOOD ITEM:
INGREDIENTS
FOOD ITEM:
INGREDIENTS
FOOD ITEM:
INGREDIENTS
FOOD ITEM:
INGREDIENTS
PROCEDURES and CRITERIA for Applying for a Food Waiver
for use by Registered Student Organizations (and other qualified groups)
When considering Food/Hospitality needs for your event, you must use one of the following UMass services on campus:
UMass Catering: 577-8235
Center for Student Businesses: 545-2166
If these services cannot meet your needs because of religious and/or cultural concerns, or if this is for a bake sale, you may apply for a food waiver.
Steps in Process:1. The Food Waiver Application must be completed and submitted by a
University staff member or a Registered Student Organization (RSO)
advisor – via email, no less than 4 weeks prior to your event. The
Certificate of Insurance from the outside caterer must be submitted with
this form.*
2. The application is then emailed to the Director of Sales and Marketing for
approval or denial. If approved, it will be forwarded on to the Department of
Environmental Health & Safety (EH&S) immediately for approval. The decision
must be made seven business days before the event. (the events office supervisor,
group contact, advisor, and the campus center/student union director should be cc’d in the
email).
3. The Department of EH&S will then approve or deny the application within
ten days. Any required paperwork must be returned to EH&S within these
ten days. (the events office supervisor, group contact, advisor, and the campus
center/student union director should be cc’d in the email).
4. Upon approval, the Group Contact person must meet with the EH&S
Officer, Larry Davis, 304 Draper Hall (545-2682), to address and discuss
University food safety requirements. An appointment is required.
1. Alcohol is never approved!
2. Alternative catering services that provide wait staff for food services are not allowed.
3. It is the responsibility of the sponsoring organization to have a copy of the food waiver at their event.
4. The Catering Director and EH&S must be informed of any menu changes made after approval.
5. For liability reasons, Campus Center food service kitchens and/or supplies are NOT available for use.
6. EH&S “Food Volunteer Form” is required for all food handlers.
7. Potlucks are not allowed in the CC/SU Complex.
*Online links with more detailed information on Bake Sales, Potlucks, Barbeques, etc.:
http://www.ehs.umass.edu/
Revised 7/2014 Data/Common/Advisor/Events & Events Forms