ࡱ>  bjbj<< ų^^=ssT$?????6888888eJ8!@8ss??oYs8??66ϺC2o0 9:    DIVISION OF ACADEMIC AFFAIRS THIS FORM SHOULD BE COMPLETED AND SUBMITTED ONE WEEK PRIOR TO THE ACTIVITY.Name of Requestor: Date of Request:Company/Organization/Department: Address: Phone Number(s): E-mail: PURPOSE OF REQUEST (Describe the terms under which you are requesting the participation of the ýapp Band/Choir. Attach supporting documentation.) DATE(S)/TIME(S) OF PROPOSED ACTIVITY: A COMPLETE ROSTER OF STUDENTS WHO WILL PARTICIPATE IN THIS ACTIVITY MUST BE ATTACHED TO THIS DOCUMENT. A final roster must also be submitted on the day of travel. If there are any last minute changes to the roster, these must be submitted electronically to the Office of Academic Affairs.**** All four signatures are required to gain approval. **** _________________________________________ Requestor Date  _________________________________________ Band/Choir Director Date _________________________________________ Music Department Chair Date _________________________________________ Vice President for Academic Affairs DateOTHER FORMS THAT MAY BE REQUIRED: Vehicle Request Form, Student Activity Form, Requisition TRIP CANCELLATION: If an activity is cancelled, notify the Office of Academic Affairs. EMERGENCY: In the event of an emergency, contact qualified emergency personnel first (911). Then, contact the Vice President for Academic Affairs. FAX BAND REQUESTS TO 662.621.8592 % FAX CHOIR REQUESTS TO 662.624.4965 COAHOMA COMMUNITY COLLEGE BAND/CHOIR ACTIVITY REQUEST FORM  7 2 5 - . 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