Office of Student Activities & Leadership
General Activity Requisition Form (GARF)
Norfolk State University
Important Notes:
1. All media equipment request (i.e. VCR, TV, Overhead Projector, Screen)
MUST
be made directly through the Office of Information Technology (OIT) @ ext. 2898 or
osmith@nsu.edu
at least (7) days prior to the event.
2. All facility requests for the Wilder Center
MUST
be made directly through the Wilder Administrative Office @ ext. 2061.
3. All facility requests for Scott-Dozier and/or catering
MUST
be made directly through Catering Services @ ext 8304.
4. Microphone Service request after 5.00pm or on Weekends must be prepaid to Facilities Management @ ext 2451 prior to approval of GARF request.
5. Non Coke products are not allowed on NSU campus.
Note:
* indicates required fields.
Organization/Department:
*
Student Organization Advisor:
Select from below
Aberra Meshesha
Aliecia McClain
Alinka Pollock
Amelia Ross-Hammond
Barbara Mccall
Bennie Marshall
Bernice Sawyer-Watson
Berthenia Cromwell
Capt. Andrew Shirk
Carl McGowan Jr
Carmen Harris
Carray Banks
Carrie Waites
Cary Lazarus
Chinedu Okala
Clarence Coleman
Crystal Watts
Cynthia Burwell
Cynthia Lewis
Desi Hacker
Dnita AndrewsGraham
Doris Edmonds
Dottie Perry
Douglas Gardner
Dr Mamie L Johnson
Dr. Carl W. Haywood
Dr. Jeenson Sheen
Dr. Karen Tatum
Dr. Mildred Fuller
Dr. Omer Gokus
Eleanor L. Hoy
Elizabeth M. Deering
Emogene Johnson-Vaughn
Frances Williams
Geoffroy De Laforcade
Gwendolyn Pharr
Howard Duncan
Isabel Killough
Jacqueline Nicholson
Jacquelyn E. Scott
James Smith
James Tallmadge
JeanMarie Banatte
Jill Comess
Josephine Stanley-Brown
June Montgomery
Karen Barrett
Karen White
Kendall K. Pete
Kesha N. Morrow
Khadijah O. Miller
Kimberly Hutson
Kyo Song
Larry Smith
Lawrence Epplein
Lendora Riddick
Lenora Armstrong
Leroy Hamilton
Leroy Salary
Lionell Spruill
Lonnie Bonham
LTC Nicholas Anthony
Marcus A. Porter
Marvin C. Clemmons
Mary Yanisko
Maurice Hawkins
Melinda Harris
Melissa Barnes
Meshea Moore
Michael Parker
Mikhail Noginov
Misti Goodson
Moncef Belhadjali
Monique Haythe
Munir Sulaiman
Olusoji Akomolafe
Paige R. Laws
Patricia Ravenell
Patrick Mbajekwe
Paul Adams
Paula Briggs
Phyllis Cooper
Rasha Morsi
Richard Taliaferro
Robert Perkins
Robin Price
Ronald Thomas
Ronald White
Rowena Wilson
S. Angelo Malone
Sally Sledge
Sandra Olanitori
Shaun Anderson
Shelia Davis
Sheryll Heard
Sidika Colakoglu
Stephanie Sanders
Suely Black
Sylvania Preston
Tabmitha Jervey
Tassew Gizaw
Timmey Zachery
Valencia Ingram
Vincent Tucker
Wanda Brockington
Wold Zemedkun
Woodrow Tabb
Zenora Spellman
Description of Activity:
*
Phone:
*
Date(s) of Activity:
*
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2012
2013
2014
2015
2016
Additional Dates of Activity:
Time of Event Start:
*
Stop:
*
Reservation Time for setup or preparation Start:
*
Stop:
*
Facility Desired:
*
Room Desired:
*
Faculty/Staff/Organization President responsible for Activity:
Name:
*
Phone:
*
Fax:
Email:
*
Re-confirm Email:
*
If guest speaker will appear at the activity, complete the following information:
Name of Speaker/Performer(s):
Title or Position:
Name of Organization Speaker represents:
Topic to be discussed:
If film is being shown, give the title here:
Will there be an Admission Charge?
*
Yes  
No Admission Charge: $
Will D.J. Services be used or Music be played during this event?
*
Yes  
No
The Office of Student Activities requires student organizations to donate
25% of the proceeds
to Norfolk State University
Office of Advancement Scholarship Fund and agree to pay Campus Police for additional security.
EQUIPMENT NEEDS:
Quantity
Yes
No
Quantity
Yes
No
Chair(s)
Microphone(s)
Table(s)
Lectern(s)
Please List other special needs: