IMPORTANT SUBMISSION OF A FOOD EXCEPTION REQUEST IS REQUIRED 14 DAYS PRIOR TO EVENTS MEETING CRITERIA ON GUIDELINES. FOOD EXCEPTIONS MUST BE APPROVED IN WRITING AND DISPLAYED AT THE EVENT Is your event sponsored by an ASU Affiliate (student, faculty, staff, department, club, organization)? * YES NO If your event is not sponsored by an ASU affiliate, the Facilitator must also submit (no later than 14 days prior to the event) anAPPLICATION FOR TEMPORARY FOOD ESTABLISHMENT PERMITeoss.asu.edu/health/resources/foodsafety Name of Event * Event Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20172018201920202021 Event Coordinator(s) * Coordinators Phone #'s * Email Address (print clearly) * Name of Club, Organization, Department, College * Event Location (be specific) * Description of Event * List all foods/beverages: bottled drinks, wrapped snacks, sandwiches, meats, fruits, vegetables, condiments or attach a menu. * Attach a Menu This field has been added as part of EWSI-202 in order to provide functionality of adding a menu attachment to the web form.Files must be less than 2 MB.Allowed file types: jpg jpeg png pdf doc docx. Start Time for food service * Stop Time for food service * Approximate number of people to be served * Where will the food and beverage be obtained? * Who will prepare the food and beverage? * How will food and beverage be delivered to the event? * Who will be serving the food? * Do servers have formal training? * What equipment will be used to keep food and beverages hot and/or cold? * Where will food equipment (grill, deep fryer, cotton candy or popcorn makers) be acquired? * Check Appropriate Box * Authorized ASU Event Fundraising Event Giveaways Special Menu Vendor Donation (Requires supporting documentation on Vendor’s letterhead) Other Other Departmental Approval * YES NO Method of Payment to Caterer * Payment Voucher Purchasing Card Name of Club Advisor (if applicable) Phone# of Club Advisor Club Advisor's Email Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20172018201920202021 Check and Note All Participating Agencies * ASU Department Faculty/Staff Student Clubs General Public Other ASU Department Agencies Faculty/Staff Student Clubs General Public Other Direct Questions to MU Event and Meeting Services 480-965-3406 or email@example.com.