Building Use and Event Request
This form should be completed when requesting the use of CTRA's facilities. This form needs to be submitted one week prior to the event. Please email Shawnta Thompsonl at Sthompson@ctriveracademy.org if you have any questions or concerns. Thank you.
Name *
First and Last Name
Your answer
Email *
Email Address
Your answer
Phone *
Phone Number?
Your answer
Space *
Which space are you requesting
Approximate number attending? *
Your answer
CTRA Scholars *
Are CTRA scholars invited to your event?
Description *
Please give a brief description of the requested event.
Your answer
CTRA Admin *
Have you discussed this event with CTRA administration?
Event Approval *
Has your event been approved by CTRA administration?
Date *
What is the date you are requesting?
MM
/
DD
/
YYYY
Time Frame *
What is your event start time?
Time
:
Time *
What is your event end time?
Time
:
Room Setup-Chairs
Number of Chairs Needed?
Your answer
Room Setup-Tables
Number of tables needed?
Your answer
Room Setup-Bleachers
Do you need the bleachers pulled out?
Room Setup
Other setup requests?
Your answer
Technology Request-Laptop
Is a computer/laptop needed?
Technology Request-SmartBoard
Is a SmartBoard needed?
Technology Request-Internet *
Is a "guest internet access" required?
Technology Request *
Is a technology representative requested at this event?
Technology Request *
Other technology requests?
Your answer
Food *
Will food be served at your event? Food is only allowed in the cafeteria.
Fundraising *
Is this event a school/class fundraiser?
Fundraising *
If this is a fundraising event, has this fundraiser been approved by administration? (All fundraisers must be approved by CTRA administration, as well as LEARN administration. You can find the fundraising form in the collaboration room.)
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