Kīpuka Facility Form

Please submit this completed form at least 2 weeks in advance of the scheduled event

Event Information      (* Required Fields)
Friday, January 28, 2022, 9:07 am
Contact Information
Person Requesting Facility
Sponsor (Responsible Advisor or Faculty Member)

Sponsor will be notified prior to release of Facility for approval if a student is requesting facility. If the sponsor does not communicate with Darlene Iokepa at Kīpuka (PB 12-8) for facility use, then the facility will not be released to the student.

The program/organization/group that is requesting the Facility shall not assume that a reservation has been approved until they are notified in writing or by email as to the availability of the facility requested by Darlene Iokepa.

Please note - By submitting this form, you are agreeing to abide by the terms set forth in the
Kīpuka Facility Use Policy (Download PDF)

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