Forms

MAINTENANCE

Number of Tables:

Size/Type of Tables:

Podium: Yes No

Number Of Chairs:

Type Of Chairs:

Easel: Yes No

Type of Set-up/Further Instructions:

Facilities Request Form This form is to be submitted no later than 15 days prior to the scheduled event. You will be notified if approved for facilities use.
Submitted By:		Date Submitted
Day Of Projected Use:	Month:	Day:	Year:
Starting Time:		Ending Time:
Name Of Dept./Organization Requesting Facility:
Facilities/Rooms Requested:		# Attending:

MEDIA (Please check all required media needs)

TV/VCR

Overhead Projector

Slide Projector

Screen

Sound System

Microphones Yes No

Mic. Stands Yes No

Technician Needed
Yes
No

Audio Recording

How many microphones

How many Mic. Stands

Other Equipment:

FOOD SERVICE (Please indicate quantities)

Paper Products:

7 oz. Coffee Cups:

Plates:

Bowls:

Napkins:

Plastic Products:

12 oz. Cups:

Forks:

Spoons:

Knives:

Sweet n Low:

Sugar:

Creamer:

Stirrers:

Beverages:

Coffee:

Iced Tea:

Lemonade:

CHILDCARE (Reservations must be confirmed at least one week in advance)
How many children?	Nursury	Preschool	Elementary
Room(s) to be used: