Policies & Procedures Manual

497

� EL\SfCENTRL\L COMMUNITY COLLEGE

FACILITY REQUEST

ACTIVITY/ MEETING ROOM REQUEST

REQUESTED BY: DATE SUBMITTED: PARTICIPANTS:

ACTIVITY:

I ELEPH0NE: I DATE(S) NEEDED:

I TIME(S) From: NEEDED : To:

□ AM □ PM DAM □ PM

NUMBER TO BE ACCOMMODATED:

BUILDING:

ROOM(S) :

EQUIPMENT NEEDS

ROOM ARRANGEMENTS

□ Projector

□ Internet Connectivity

□ Classroom Style OU-ShapeStyle □ Round Table Style □ Other Style

□ Sound System/Podium

□ TV/DVDNCR

--- No. of Tables

No. of Chairs □ RefreshmentTable(s) __ FOOD

□ Columns/Lattice Panels □ Other:

---

□ Registration Table

ARRANGEMENTS

REFRESHMENTS: (The College Food Service Provider must be

MEALS: (The College Food Service Provider must be used for

events that involve the serving of food)

used for events that involve the serving of food)

□ Yes □ No ;mnliPrl\ SERVING TIME:

D Yes D No

Tablecloths Needed (charge

ADDITIONAL NEEDS: (i.e. tablecloths, tables, etc. -

D AM □ PM

additional charge may apply)

--

EXTERNAL GROUPS- (IF APPLICABLE)

HOLD HARMLESS AGREEMENT/RELEASE FROM LIABILITY:

CHARGE INCURRED:

□ Yes □ No

□ Yes D No

Amount:$__

AUTHORIZATION

Event Sponsor Representative ECCC Representative

DATE:

DATE:

A signed copy of rules/regulations must accompany this request form.

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