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EBA Building Permit Request Form
***All questions are required. Please click on " Send me a copy of my responses" to save a copy for your records.***
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* Indicates required question
Requested by:
*
Your answer
Name & Brief Description of Event
*
Your answer
Start Date
*
MM
/
DD
/
YYYY
End Date
*
MM
/
DD
/
YYYY
Days of the week
*
(list more than one, if applicable.)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Required
Include Holidays? If yes, which ones?
*
Your answer
Start Time
*
Please use this format HH:MM AM/PM.
Your answer
End Time
*
Please use this format HH:MM AM/PM.
Your answer
Anticipated Attendance
*
(including staff & students)
Your answer
Nature of Event
*
Student Activity
Adult Activity
Other:
Number of Security Agents Needed
*
Choose
0
1
2
3
4+
Space Description
*
Please indicate quantity (choose "0" if none)
0
1
2
3
4
Classroom
Bathroom
Office
0
1
2
3
4
Classroom
Bathroom
Office
Multipurpose Room
Cafeteria
Other:
Comments or Additional Information
Your answer
Email address
Please provide email address to receive confirmation.
Your answer
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