APPLICATION TO HOLD A UNIVERSITY RELATED FUNCTION
ORGANISER:(Please complete all fields)
Name of organisation
Name of contact officer Position title of contact officer: University ID:
Telephone number: Mobile number: Fax number:
NAME, DATE AND TIME OF EVENT:
Name of event: Day & Date of event:
Time of event:Event Set-up from to
Event activity from to
Event Take down from to
LOCATION OF EVENT:
Will the event be held on campus? YES / N0
If on campus, is it inside?YES / N0 Indicate theBuilding Room(s)
If on campus, is it outside?YES / N0 Indicate the Campus location
Proposed boundaries of the event being held on campus:
If off campus, where is it being held?
(Note: where it is proposed that a University event will be held off campus, relevant property holders, organisations, Government bodies, etc, as well as the sponsoring Officer (eg. Dean or Director) are to be advised of the event details.)
DETAILED DESCRIPTION OF EVENT:
What is the target age group? How many attendees are expected?
Is the event open to ANU only? YES / N0
Is the event an open invitation? YES / N0
Is the event sponsored/sanctioned by an official ANU body/groupi.e. ANUSA, ANU Dept, ANU Residence?YES / N0
Provide details of which organisation:
Printed Name & signature of ANU group authorising officer:
Signature of ANU group authorising officer:______
Note: ANUSA affiliated groups need signature from ANUSA executive, residential groups from Head or Dean.Only applications sponsored by a University department, PARSA or ANUSA and affiliated organisations will be considered for approval. Refer to the website for further details on sponsorship of function.
You should undertake a risk management assessment of your event prior to the submission of this form. An event risk management plan will be required if:
- liquor will be available at the event;
- the event impacts on pedestrian or vehicular movement;
- the numbers attending and/or the complexity of the event inherently require a risk management assessment; or
- following submission of this form you are requested to provide a risk management assessment of your event.
If your event includes one or more of points 1-3, please complete an event risk management plan and attach a copy to this document for comment. A risk management template can be located at
Is the event sponsored by an outside organisation?YES / N0
If you have selected “Yes”provide thename of sponsoring organisation:
Indicate how the event will be advertised (tick as many boxes as appropriate):
PosterANU Bulletin BoardOther (please indicate how):
Where advertising material is to appear on campus, a copy must be provided with this application. No advertising must occur on campus before an approval is granted. If advertising material is to contain reference to the University (other than as an address), it must be approved by Marketing and Communications before it is used.
MUSIC / NOISE
Will the event include music or the generation of noise? YES / N0
If Yes, please outline:
Note: Please be aware that the University has a curfew in relation to music being played on campus. Music can only be played in the Union Court area between the hours of 12.00hrs and 14.00hrs. Organisers accept responsibility for excessive noise or loud music by their event. Complaints of loud music will be responded to with an immediate direction by ANU Security to lower the sound source to an acceptable level.Failure to act appropriately could lead to the power supply being terminated and the event shut down.
If food is provided as part of the function activities, details must be provided on the arrangements.
Note: food supplied in open air events on campus will typically be provided for free of charge to patrons by the organisers unless permission is granted to include a charge or donation.
Facilities & Services have 2 portable gas BBQs for ANU events – fixed landscape BBQs can also be booked through the Division.
Do you wish to use Facilities and Services portable gas BBQ’s? YES / N0(if “yes’ circle numberrequired One / Two
If using a fixed landscape bbq, which one are you using?
Is liquor to be available at the event? YES / N0
Is liquor being sold at the event?YES / N0
If 'Yes' to either of the above questions an ACT Liquor Licence may also be required (refer to Advertising, Sale, Supply, and Consumption of Liquor Policy). An approved event enables ACT Liquor Licensing to grant a permit. Once your event has been approved ANU Security notifies the Office of Regulatory Services by fax approval letter to enable you to purchase your liquor permit if required. Once received, please email the liquor permit number details to the delegate who contacts you with event approval. Liquor events require the presence of an RSA certified representative.
Please note that the consumption of liquor is NOT permitted on the grounds of the ANU outside of exempt University buildings, without the approval of the Director, Facilities and Services or his agent. Submission of this form does NOT constitute approval - approval, or otherwise, will be notified to the contact officer in writing by the Director, Facilities and Services or his agent.
INSURANCE AND OTHER ARRANGEMENTS:
A Certificate of Currency for public liability insurance is required from any external contractor providing a service at your event, eg external catering, bouncing castles etc.
Name/s of external caterer/subcontractor
What amount of public liability insurance do you hold? $
Does your public liability insurance cover the event?YES / N0
Please provide a certificate of currency with this application if necessary.
Note: if you do not hold public liability insurance, which covers the event, the University may require you to take out such insurance before the event takes place.
What arrangements have been made for the following services if needed as part of the function?
Power YES / N0
If power is required, outline your power arrangements
Street/Oval LightingYES / N0
If so, advisewhat arrangements have been made to ensure adequate lighting:
Security -are officers requiredYES / N0
If so, how manyofficers are required
StructuresYES / N0
If so, please describe structures & how they will be fastened down.
Please note: Separate approval is required in relation to the erection/pegging of tents and digging on campus.
TRAFFIC & PARKING
Volunteers, contractors, event staff and invited guests are required to park vehicles in compliance with University Rules
Will your event impact on Campus traffic?YES / N0
If so, please describe how:
INDEMNITY (FOR NON-INTERNAL ANU EVENTS):
I agree that my organisation takes full and complete responsibility for the proposed event. I indemnify the Australian National University for all loss, damage cost, expense, or claim arising out of the use of the event. I agree that I will comply with all applicable University policies, including the Advertising, Sale, Supply, and Consumption of Liquor Policy.
Signature: ______Date: ______
THIS APPLICATION FORM MUST BE SENT TO THE APPROVING AUTHORITY AT LEAST 14 WORKING DAYS PRIOR TO THE EVENT FOR A MAJOR EVENT and; AT LEAST 7 WORKING DAYS PRIOR TO THE EVENT FOR A MINOR EVENT. ALSO PLEASE NOTE REQUESTS FOR FURTHER DETAILS MAY ARISE FROM THE APPLICATION.
FAX COMPLETED FORM TO: 6125 0777 (Functions on Campus – Innovations Building) OR
It should be noted that the University reserves the right to request further details and information in relation to the event including risk assessments where they may be required for further review of the application to allow a decision as to whether the function may or may not gain approval to proceed at the University.