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SOUTHEASTERN LOUISIANA UNIVERSITY

FOOD POLICY APPROVAL FORM
FOR FOOD RELATED ACTIVITY OR PURCHASE
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Student Organization or Department Unit: ________________________________________________

Purpose of Activity: _________________________________________________________________

Date of Activity: _____________________________   Time of Activity: _________________________

Location of Activity: _________________________________________________________________

Food to be Served: ___________________________________________________________________

Food Will Be:   [____] Sold   or   [____] Served Free

Is Food Being Donated?:   [____] No   /   [____] Yes-Donor Name _______________________________

Food Will Be Purchased From:



Food Will Be Prepared By:




Food Will be Served By:



[____] Campus Dining
[____] Vendor/Supplier
[____] Not Applicable

[____] Campus Dining
[____] External Caterer
[____] Student Organization or Departmental Unit
[____] Donor

[____] Campus Dining
[____] External Caterer
[____] Student Organization or Departmental Unit
[____] Donor

Budget Amount Available for Activity: ______________________

[____] Actual   /   [____] Estimated   -   Cost for Activity: _________________________

Name of Full-Time Employee Responsible For Event: _________________________________________

Person Who Attended Food Preparation & Safety Class: ______________________________________

Certificate of Insurance Attached For External Caterer:   [____] Yes   /   [____] No

Approval Form Submitted By: ___________________________________   Date: _________________

NOTE:   Approved Form To Accompany Purchase Requisition For Non-Campus Dining Purchase


ACTIVITY OR PURCHASE APPROVED BY

Asst Dean Student Development: ________________________   Date _____________