Memorial Lutheran Church
Office: 2602 E. 28th St., Vancouver WA 98661
360-695-7501 (M-F, 9-1) Email: firstname.lastname@example.org
Application: Lease or Rent Memorial Lutheran Church Properties
Updated: 7/2017 (5 pages)
Use of Memorial Lutheran Church (the Church) Facilities and Properties is a closely controlled privilege that may be rescinded or modified at any time by the Church’s leadership team.
Changes in this information require written permission to proceed. Also, changing this information will impact other groups.
Section 1 of 12: Failure to complete this section the application will not proceed or may be denied.
Today’s Date: __________________
Name of Group: _____________________________________
Title within this Group: ________________________________
Mailing Address: _____________________________________________________
City: _______________________________ Zip Code: _____________
I am a member of Memorial Lutheran Church: Yes or No
Section 2 of 12: If available provide the following information:
Federal Government 501 (c) 3 tax exemption number: ___________.
Washington State Business License number:____________ .
Describe your group’s affiliation, if not Memorial Church sponsored: ________________________________________________________________________
Section 3 of 12: Contact information will be use if there is a need to change your use of the Church property.
Emergency (Secondary) Contact: Name:_______________________________________
Email _________________________________ and Phone _______________________
Section 4 of 12: Failure to complete this section the application will not proceed or may be denied.
Time “Staff” Enter and Leave, Locking the Building: ______________________
Section 5 of 12: Failure to complete this section the application will not proceed or may be denied.
Complete one that describes your authority and legal authorizations:
I, ______________________________________________(Print Name),
Provide the contact information for the person who has the authority and legal authorizations to act as the Responsible Representative:
Section 6 of 12: Failure to complete this section the application will not proceed or may be denied.
Describe Proposed Activity (This information will define the constraints place on this application. Failure to provide adequate information will delay this process.)
Circle desired property(ies):
I currently have a key/card: Circle one; Yes or No
Section 7 of 12: Failure to complete this section the application will not proceed or may be denied. Also, Changes in this information requires submission of a new Application: Lease or Rent Memorial Lutheran Church Properties Note: Assignment of space is at the discretion of the Facilities Coordinator.
Choose Only One, Fire Code Restricts Occupancy by Group Size:
Section 8 of 12: View Memorial Church property schedules at www.mlc.org, “Facilities and Properties Use” for available space before completing this section or email Facilities Coordinator to see if dates are available. Failure to complete this section the application will not proceed or may be denied.
Choose One: Note: Do not offer "either, or” situations.
Section 9 of 12: Equipment: The Church provides some equipment that your group is to set-up, per the Church Board of Directors. We can not honor requests for special or specific equipment. Note: Failure to complete this section tables and chairs will not be available.
Section 10 of 12: General summary of requirements for use of Memorial Lutheran Church Facilities and Properties: Application to Lease or Rent.. Further requirements and details found in the Memorial Lutheran Church Facilities and Properties Use: Requirements, Procedures and Guidelines. (mlc.org)
Section 11 of 12: The process may take up to 30 days as the application and documents are reviewed and may be submitted to the Church Board of Directors for a decision. A letter/email will sent when a decision is made.
Section 12: Submit original documents, when required, to the Church office, Memorial Lutheran Church Office: 2602 E. 28th St., Vancouver WA 98661, 360-695-7501 (M-F, 9-1) .
Thank you, Memorial Lutheran Church and Facilities Coordinator
End Document: Application: Lease or Rent Memorial Lutheran Church Properties