Request to Serve Alcohol

Submit a request to serve alcohol at a Jackson State University event.

Events & Visitor Services

Request Form

PLEASE ALLOW 2 WEEKS TO APPROVE

Fields marked * are required.

Date of Request

Reservation confirmation number

Name of Requesting Department or Group

Contact Person

Address

Phone

JNumber, if JSU Employee

Date of Event

Start and End Time

Brief description of event

Location of Event

Is this an Athletic Event?

Yes No

Will minors be present?

Yes No

Get in Touch

MAILING ADDRESS

Jackson State University
1400 John R. Lynch Street
Jackson, MS 39217

EVENTS & VISITOR SERVICES