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Facility Use Request
Please provide your 4j email - this form is for Sheldon staff requesting use of Sheldon building space
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* Required
Email
*
Your email
Meeting Information
*
Provide meeting details here (Club name, Sports team, Testing Info, Class Info, etc)
Your answer
Date Requested - provide multiple dates next question
*
MM
/
DD
/
YYYY
Date Range - provide date and/or time range or send and email to
natt_k@4j.lane.edu
referencing this form
Your answer
BEGIN Time Requested
*
Time
:
AM
PM
END Time Requested
*
Time
:
AM
PM
Area Requested
*
Choose
C-9 (Lecture Hall)
F-4 (Little Theater)
Auditorium
Cafeteria
Library
Science Courtyard
Main Outside Courtyard (North Area)
Main Outside Courtyard (South Area)
Other
"Other" Area Requested - please explain
Your answer
Contact Information
*
Please provide first name, last name, phone number for conflict issues
Your answer
Anticipated Attendance
Your answer
Special Needs and Requests - This is a "personal" checklist of items.
Please connect with the appropriate staff member to assist with the proper need.
Yes
No
Custodian (hill_j@4j.lane.edu)
Microphone
Lecturn
Sound System (voss@4j.lane.edu)
Bleachers (hill_j@4j.lane.edu)
Stage Lights (Julie / Megan)
Tables (email hill_j@4j.lane.edu)
Yes
No
Custodian (
hill_j@4j.lane.edu
)
Microphone
Lecturn
Sound System (
voss@4j.lane.edu
)
Bleachers (
hill_j@4j.lane.edu
)
Stage Lights (Julie / Megan)
Tables (email
hill_j@4j.lane.edu
)
"Other" Special Needs and Requests - please explain
Your answer
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