Space Request Form
This form is for groups interested in holding an event or using a space at UCLA Community School or Mann UCLA Community School.
Please fill out the following questions so we can better understand your program's vision and needs. Someone from our team will follow up with you shortly. For further questions, please contact Dr. Christine Shen at <
Please provide general information about the UCLA department or organization designing this program, as well as a point person and contact information.
Which school are you inquiring about?
UCLA Community School
Mann UCLA Community School
Name of Organization
Name of UCLA Lead
Total Number of Facilitators
Has this organization previously collaborated with UCLA Community School or Mann UCLA Community School?
Please describe the scope of the proposed event.
Name of Proposed Event
Please describe the proposed event (what is the event, what is its vision, what are its goals?)
Please fill out the following information regarding your program. Describe your ideal location, student ages, etc.- know that these may need to be adjusted based on the needs and availability of school resources, but we will try our best to support each program.
Ideal Date: please list specific dates or a range of days that would work for the event
Length of event/Times for event (if specific times are needed)
Is set up/tear down time needed? If so, how long?
How many students would you like to attend? Does your event accommodate 1 class, 1 grade, or the whole school?
What kind of space would the event need? Are there any specific set up needs for tables, chairs, etc.?
Ages of Students Served
Adults- School Teachers
Adults- School Parents and Community
Adults- UCLA students and/or faculty
Is this event open to the public?
Please list any other pertinent information here.
A copy of your responses will be emailed to the address you provided.
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