LC Facility Use Request
Please complete this form at least two weeks prior to your event.
Email address *
Your Name: *
Organization/Team: *
Name of Event: *
Short Description of Event: *
Date of Event: *
MM
/
DD
/
YYYY
If that date is unavailable, list an alternate date:
MM
/
DD
/
YYYY
Room(s) Requested (Check all that apply) *
Required
If you requested classroom(s), please list which room(s):
Start Time of Event: *
Time
:
End Time of Event: *
Time
:
What time do you need access to the space in order to set up? *
Time
:
What time do you need access to the space in order to clean up after the event? *
Time
:
Technology Needs (Check all that apply) *
Required
Do you need folding chairs set up? *
If you do need folding chairs set up, how many?
Do you need tables set up? *
If you do need tables set up, indicated how many, and which kind (6' long, 8' long or 5' round):
Will your event include food and/or drinks? *
Is there any other information about your event that would be helpful to our maintenance staff?
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