Glen Carbon Library Meeting Room Request Form
Acknowledgement and agreement to the terms of the Meeting Room Policy. *
I have read and agree to the terms of the Meeting Room Policy. I understand that as the requestor I am responsible for completing the Cleaning Checklist and returning it to a Staff Member at the Circulation Desk prior to leaving the Library. We request that you complete the checklist 15 minutes prior to the end of your meeting.
Required
Resident/Library Card Holder's Name *
Please provide a first and last name.
Your answer
Requestor's Library Card Number *
All requests for meeting room use must be made by a resident of the Village of Glen Carbon age 18 or older who hold a current library card in good standing, meaning there are no overdue materials or unpaid fines
Your answer
Organization/Group Name *
Meeting room use is limited to non-profit community based groups/organizations.
Your answer
Requestor's Village of Glen Carbon Address *
Requestor must be 18 or older and a legal resident of the Village of Glen Carbon and provide a valid Glen Carbon Library Card or address
Your answer
Requestor's Telephone Number *
Requestor must be 18 or older and a legal resident of the Village of Glen Carbon and provide a valid Glen Carbon Library Card or address
Your answer
Room Requested *
Please note room capacity limits when requesting a room.
Date of Requested Room Use during regularly scheduled Library Hours *
Requests are honored on a first come, first served basis and must be submitted on this request form. A deposit check in the amount of $50.00 must be on file in the library at least 24 hours prior to your meeting. The Library Board reserves the right to deny use of a room at their discretion. Due to inclement weather or other unforeseen conditions, the library may cancel and attempt to reschedule a meeting room reservation.
Your answer
Time of Requested Room Use *
The meeting rooms are available from 9:00 am -8:00 pm Monday through Thursday and 9:00 am -5:00 pm on Friday and Saturday, and 1:00 - 5:00 pm Sundays when the library is open. Meetings ending at 8:00 pm (Mon-Thurs) must have the room cleaned by 7:45 pm and be ready to leave no later than 8:00 pm. Meetings ending at 5:00 pm on Fri, Sat. or Sun. must have the room clean and inspected by 4:45 pm and be ready to leave no later than 5:00 pm..
Your answer
Tables and Chairs *
Please list the number of tables and chairs needed.
Your answer
Are you requesting the use of library equipment?
Equipment that may be available includes a projector, screen, computer, television, etc. Please specify what you would like to use.
Your answer
Will refreshments be served during your meeting time? *
If food or beverages are served during your meeting, the room's trash cans must be emptied of dishes and food debris before the deposit check can be returned. Tables must also be wiped clean with disinfecting wipes provided by the library. Please ask a Staff Member if you need additional trash bags.
Submit
Never submit passwords through Google Forms.
This form was created inside of Glen Carbon Centennial Library. Report Abuse - Terms of Service - Additional Terms