Building Use Request
This is the application for building and/or equipment use for MSAD 52. Please send in your request at least 2 weeks prior to event or use to allow time for the approval process. Please note that building requests for holidays and school vacation weeks will not be accepted.
Email address *
Applicant's Section
Complete this form, until you come to the Building Administrator's Section. Proof of insurance must be submitted as an attachment to or dropped off at the school's main office before your request will be approved. Please make sure to reference your event name and date when submitting proof of insurance.
Organization Name *
Your answer
Event *
Your answer
Contact Person *
You can list more than one name here, but list the primary contact first
Your answer
Phone Number *
You must provide a contact number for the primary contact here
Your answer
Address *
Your answer
Which school facility is needed *
If multiple buildings are needed, a separate request must be completed for each one
List any special requests here
Special requests can be things such as wifi access, podium, cheering mats, etc.
Your answer
Which area of the school is needed *
Select any that apply
Type of event *
Your answer
Date(s) of event *
Your answer
Times of event *
List both start and end times
Your answer
Number of people attending *
Your answer
Is this a non-profit event? *
Are you charging participants/audience for this event? *
School Use Facilities Policy *
School Board Policy KF Use of School Facilities -
Use of School Facilities (Regulations) *
School Board Policy KF-R Use of School Facilities (Regulations) -
Fee Schedule for Use of MSAD 52 School Facilities When Applicable *
School Board Policy KF-E1 Fee Schedule for Use of MSAD 52 School Facilities When Applicable -
Conditions for Use of Leavitt Area High School Auditorium *
School Board Policy KF-E2 Conditions for Use of Leavitt Area High School Auditorium -
Fee Schedule and Estimate Worksheet *
School Board Policy KF-E3 Fee Schedule and Estimate Worksheet -
Use of School Facilities - Cancellations and Holidays *
Memo regarding school cancellations and holidays -
Sex Offender Restricted Zone *
Memo regarding the statute - Link to the Maine statute -
Tobacco Use and Possession Policy *
School Board policy ADC -
Signature *
By typing your name below, you are electronically signing your application, and agree to abide to all the regulations for using school facilities
Your answer
Building Administrator Section
Building Administrators or Athletic Directors should complete the next part
Is the building space/field available?
Do you approve this request?
Admin notes
List any special notes such as room numbers, etc. that may apply here
Your answer
Type your name below as a digital signature for this application
Your answer
Facility Director Section
If you are not the facilities director, do not fill out any of the following
Is there custodial coverage?
Will we need extra custodial coverage?
Estimated fees
Your answer
Facility Director Comments
Any comments regarding this request
Your answer
Facilities Director Signature
Type in your name as a digital signature
Your answer
A copy of your responses will be emailed to the address you provided.
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