OHS On-Site Facility Request Form

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Please submit this "Facility Request Form" 2 WEEKS IN ADVANCE in order to schedule facility access. All information must be provided on this form to be processed. You will receive an email with an approval or denial. If denied, a rationale will be provided. Please note: if on the day of the event, you request additional items or facility access that was not pre-approved, it will be DENIED.

Last Name *

First Name *

Name of Organization/Club/Class/Team *

Facility to be used? *

If you would like a room, field, or other please be specific. Ex: specify room number or which field on the "other option".

MPR

Pavilion

Gym

Room

Field

Cafeteria Lounge

Other:

Event Date *

YYYY

Alternative Date *

YYYY

Start Time *

Time

End Time *

Time

Purpose of Event *

Please keep brief.

Expected Attendance *

Will admission fee, collection, or solicitation of funds be involved? If yes, please note a "Fundraiser/Activity Request" must be on file with ASB. *

Yes

Room Set-Up (How many chairs, tables, technology, special equipment and other instructions such as access to restrooms?) If no set-up is needed please state, "No Set-Up." *

Please be specific about the set-up for your event in order to properly inform our custodial staff.

ACKNOWLEDGEMENT *

I acknowledge that I must submit this form 2 WEEKS in advance in order to schedule facility access. Please note if the day of the event you request additional items or facility access it will be DENIED.

Required

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