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 Anna at aclark@gseis.ucla.edu.
Email address *
Basic Information
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?
Name of Organization *
Your answer
Name of UCLA Lead *
Your answer
Total Number of Facilitators *
Your answer
Has this organization previously collaborated with UCLA Community School or Mann UCLA Community School? *
Event Information
Please describe the scope of the proposed event.
Name of Proposed Event *
Your answer
Please describe the proposed event (what is the event, what is its vision, what are its goals?) *
Your answer
Event Logistics
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 *
MM
/
DD
/
YYYY
Length of event/Times for event (if specific times are needed) *
Your answer
Is set up/tear down time needed? If so, how long? *
Your answer
How many students would you like to attend? Does your event accommodate 1 class, 1 grade, or the whole school? *
Your answer
What kind of space would the event need? Are there any specific set up needs for tables, chairs, etc.? *
Your answer
Ages of Students Served *
Is this event open to the public? *
Please list any other pertinent information here. *
Your answer
A copy of your responses will be emailed to the address you provided.
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