Kansas State University

Request For Services

Please complete the entire form, all fields are required. Housing and Dining Services staff will contact you within two to three business days.

Affiliation:

University - Any current K-State Student or Staff Residents - Any current Jardine or Residence Hall resident Non University - No current affiliation with K-State HDS Internal - K-State Housing and Dining Staff

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Organization:

Event Title:

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Contact

Preferred First Name:

Last Name:

Title:

Gender:

Male Female

Address:

City:

State:

--International (No U.S. State)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

ZIP:

Email:

Telephone:

Details:

Start Date:

Start time: 8:00AM8:30AM 9:00AM9:30AM 10:00AM10:30AM 11:00AM11:30AM 12:00PM12:30PM 1:00PM1:30PM 2:00PM2:30PM 3:00PM3:30PM 4:00PM4:30PM 5:00PM5:30PM 6:00PM6:30PM 7:00PM7:30PM 8:00PM8:30PM 9:00PM End time: 8:00AM8:30AM 9:00AM9:30AM 10:00AM10:30AM 11:00AM11:30AM 12:00PM12:30PM 1:00PM1:30PM 2:00PM2:30PM 3:00PM3:30PM 4:00PM4:30PM 5:00PM5:30PM 6:00PM6:30PM 7:00PM7:30PM 8:00PM8:30PM 9:00PM9:30PM 10:00PM

End Date:

Number of Other  Participants:

None 1 2 3 4

Emergency Contact Name:

Emergency Contact Phone:

Dining Location

Dining Centers Catering

Payment Method

Individual Department / Invoice

Department / Organization:

Department Contact Name:

Department Contact Email:

Notes:

Housing and Dining Services will contact you regarding this request. You will receive a confirmation email within the next 15 minutes.

Processing: