Public Safety After Hours Access-Summer Camp Form

Please note: This is for Public Safety information and is required for any after-hours building access. It does not provide UNG ID Card swipe access to buildings.

Your Name Your Name First Last
Date of Event Date of Event / MM / DD YYYY
Name of Camp
Number of Campers
Camp Director Camp Director * First Last
Camp Director Email Address *
Camp Director Contact Number Camp Director Contact Number * - ### - ### ####
Camp Assistant Director Camp Assistant Director First Last
Camp Assistant Director Email Address
Camp Assistant Director Contact Number Camp Assistant Director Contact Number - ### - ### ####
Camp Staff/Counselors
Names and Contact Information
UNG Program Administrator UNG Program Administrator First Last
Email
Phone Phone - ### - ### ####
Access Information
Campus *

Campus Blue Ridge Cumming Dahlonega Gainesville Oconee
Building Name *
Department Head Email
(or person authorized to approve request) *
Camp Details
*General details to include where and when the camp will be throughout the week or details regarding parking such as, large equipment trailer parked in Lot 53
By submitting this form, I acknowledge the following: (i) the student(s) I have listed on this form is (are) currently enrolled in a class that I teach and such student(s) need(s) access to the building and room number listed for class-related purposes; (ii) I have reminded the student(s) that after-hours access, if granted, is only for class-related purposes and only for the building and room specified; (iii) I have informed the student(s) that any after-hours access granted pursuant to this request may be revoked at any time by the University in the University’s sole discretion; and (iv) any after-hours access granted pursuant to this request will expire at the conclusion of the current academic term and will require resubmission for any subsequent term.
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Public Safety After Hours Access-Summer Camp Form

Public Safety After Hours Access-Summer Camp Form

Access Information