NIST Elementary School

Student Organised Event Application Form

This form to be completed one full school week in advance of the event.

Please fill in ALL details on this form if you want to organise an event or fundraising activity.

Please submit this form to the Elementary Leadership Team for approval.

Student Organiser’s Name: __________________________________________________________

Student Organiser’s Homeroom: ____________________

Date of the event or fundraiser: ___________________________________________

Start time the event: _______________ Finish time the event: _______________

Place where the event or fundraiser will take place: _______________________________________________

Briefly describe the event: ___________________________________________________________________

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Who will be involved (target audience)?: ________________________________________________________

Number of students who will take part in the event: _______________________________________________

What equipment is needed for the event? Who will organise this equipment?: _________________________

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How will people be informed about the event? (posters need approval stamps from K. Wanpen and should be

pinned to boards - not stuck with tape on walls; PA system should be just before breaks and approved by a

principal): ________________________________________________________________________________

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What are the safety issues for this event?: ______________________________________________________

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PLEASE COMPLETE OTHER SIDE OF THIS FORM

Who are the teachers who will be at the event to support it: _______________________________________

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Names of other students who will be helping run the event (please state their roles): ___________________

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For Fundraising Events or Events with Money

Funds raised will go to: _____________________________________________________________________

What are the prices for items being sold: _______________________________________________________

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Who will arrange the float/change? How much will be needed/: ____________________________________

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How the money will be passed on to the organisation: ____________________________________________

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Signed by Student: __________________________________________

Signed by Homeroom Teacher: __________________________________________

Signed by Year Level Coordinator: ____________________________________________

Signed by Elementary Vice Principal Student Welfare: ______________________________________

Comments: _______________________________________________________________________________

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