Facilities Request Form Person Making Request(Required) Name of Organization (If Applicable) Email(Required) Phone Person in Charge(Required) Type of Activity(Required) Date Needed(Required) Time Needed(Required) Is this a reoccurring event? (multiple week) If so, this event is subject to be renewed under an annual contract. the contract will be renewed annually, every July.(Required) Yes No Number of People expected to attend Number of Rooms Needed Rooms Requested Will you need access to the kitchen? Yes No Will you need access to the oven or stove? Yes No Do you have a key(s) to access the area requested? Yes No Other Helpful Details Δ
