MSU DEPARTMENT OF MEDIA AND THEATRE ARTS STUDENT PROJECT - RISK MANAGEMENT PLAN

1. Title of Project:
2. Name, Address & Telephone number for all principals to the project:
3. Description of project:

Risk Control measures to be undertaken:

4. Dates:
5. List of all Locations:

Risk Control measures to be undertaken:

6. List of all non-MSU equipment or property to be used:

Risk Control measures to be undertaken:

7. List all means of Transportation to be utilized:

Risk Control Measures to be undertaken:

8. List of all Certificates of Insurance required/requested by Location and/or property owners:
9. Rental Contracts, or any other written contracts (if any) must be attached
10. Signature by all principals of the project:

__________________________________ Date ______________________

__________________________________ Date ______________________

__________________________________ Date ______________________

__________________________________ Date ______________________

___________________________________ Date ______________________

Approval Course/Project Instructor

___________________________________ Date ______________________

Approval MTA Department Head

GRAD. STUDENTS Return Completed Form to:

Julie Geyer at Media and Theatre Arts

406-994-5884 Fax 406-994-6214

UNDER GRAD. STUDENTS Return Form to:

Vickie Miller at Media and Theatre Arts

406-994-2484 Fax 406-994-6214