Internal Reservation Policy External Reservation Policy Successful Event Planning in the Kulkarni Theatre Inquiry Form Is Your Event Internal or External? External Event All organizations, companies, individuals, or Penn State Harrisburg departments, offices, or colleges interested in using the Kulkarni Theatre. Internal Event All registered Penn State University - Harrisburg student organizations or clubs interested in using the Kulkarni Theatre facility for any program, activity, organized gathering, etc. STOP! Please use the 25Live Event Calendar to submit your event Event Details Event Date/Time Event Date/Time: Date Event Date/Time: Time Event End Time Note: We ask that guests exit the building no more than 60 minutes after the event end time. If your event needs extra time, please make a note of that in the additional comments section below. Events that occur outside of regular business hours may incur a security fee. Event End Date/Time (if multiple days) If you request multiple dates for your event, please upload a document outlining dates, times, and spaces desired. Upload requirementsOne file only.5 MB limit.Allowed types: doc, docx, pdf, . Upload Do you have an alternative date(s) Yes No Alternate Dates Please select alternate date (up to 3) Please select alternate date (up to 3) Please select alternate date (up to 3) Please select alternate date (up to 3): Date Please select alternate date (up to 3): Time AddRemove Event Name Type of event (please select primary focus)* - None -Lecture/presentation/filmPerformanceConferenceMeetingFundraising Please briefly describe your event Anticipated Attendance Will any type of admission/registration fee be collected? Yes No If so, what will the cost be? Note: If your event is open to the public, it must be ticketed (regardless of price) through the Kulkarni Theatre Ticket Office. Costs and fees will be charged to your organization. Technical/setup requests (select all that apply): Please include specifics in the additional comments field. Tables Chairs Projector/Screen Podium/SmartPodium Microphones Support for Live Music Support for Theatrical Lighting Piano Other Other Requests If your event includes a performing artist, please upload the artist's technical rider here. Upload requirementsOne file only.5 MB limit.Allowed types: jpg, jpeg, gif, png, txt, doc, docx, xls, xlsx, pdf, ppt, pptx, pps, ppsx, odt, ods, odp, mp3, mov, mp4, m4a, mpeg, avi, ogg, wav, weba, webm. Upload Will any unaccompanied minors be present? Note: If minors are involved in the event, you and/or your organization must comply with AD39 Minors Involved in University-Sponsored Programs or Programs Held at the University and/or Housed in University Facilities https://policy.psu.edu/policies/ad39 Yes No Contact Information Name of individual/organization/company Individual/organization/company type - None -CorporateGovernmentNon-ProfitPrivate Contact person for the event Name Email Phone Address City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Discounts and Fee Waivers Is the organization a government agency, or does the organization hold 501(c)(3) non-profit status? Yes No If so, what is the mission of the organization/government agency? Are you seeking a non-profit discount? Yes No External organizations or individuals that use Penn State Harrisburg facilities must fully compensate the University for all costs incurred or provide nonmonetary considerations that directly support the mission of the University. For more information, please click Philanthropic Use of University Facilities Policy. Note: Organizations requesting a facility fee waiver must either be a government agency or hold 501(c)(3) non-profit status, AND must directly contribute to one or both of the following missions of Penn State Harrisburg: The education of Penn State Harrisburg students The economic development of the Commonwealth of Pennsylvania Are you seeking a rental fee waiver? Note: A fee waiver, if granted, may forgive all or part of the facility rental fees. This will NOT apply to direct costs (such as labor and equipment). Yes No How does this event directly contribute to the educational and/or economic development mission of Penn State University? Note: If the non-profit organization involved does not qualify for a fee waiver, you may still seek a 30% discount of the facility rental fees. This will NOT apply to direct costs (such as labor and equipment). Next steps An event coordinator will contact you. If a date is agreed upon, we will place it on hold and generate an estimate of costs. If you accept the estimate, the date will be confirmed and we will send you a facility-use agreement. SUBMITTING THIS APPLICATION DOES NOT GUARANTEE A RESERVATION. I have read and agree to the conditions listed above. Submit