Room Request Form Event requests must be submitted three weeks before event! This form will be sent to the appropriate staff member(s) for review. Submitting the form does not guarantee it will be approved. Name or Purpose of Event* Date and Start Time of Event* at Day(s) Of The Week (i.e. Monday, Tuesday)* Please enter the day(s) of the week that this event will take place. End Date & Time of Event* at Setup Date & Time* at Take-down Date & Time* at If this is a recurring event, please list ALL ADDITIONAL dates on which it will occur Main Room/Space Required* Person completing this form* E-mail address Affiliated Committee/Group If student please provide adult contact Number Of People Attending Event* Additional Spaces Required Please talk to individual teachers if classrooms are required Check any that apply to your event Childcare: Do you need childcare provided for this school-sponsored event? (*Must be requested at least 3 weeks prior to event) Security: Do you need doors unlocked and locked? Disarming or arming the alarm? Kitchen: Do you need access to the kitchen? If approved, check with Jane or Jessica. *Towards our goal of Zero Waste, please use compostable & recyclable products Clean Up: We will assign a clean-up crew for ALL rooms that are used Facilities: please use the usual clean up of this room BEFORE the event OR Facilities: please do the usual cleanup of this room AFTER the event Facilities Requirements A* Please provide details of any furniture, cleanup, campus access, etc. Please attach an explanatory diagram below if possible. Facilities Requirements B Please upload a diagram of table/chair setup, etc. Please check with Facilities Manager about any details. (80 MB max) Audio/Visual/Technology Will Be Required* Please select whether audio/visual/technology will be required. Please send all details to firstname.lastname@example.org as they become available. No Yes Audio/Visual/Technology Details If you will be using technology to display a presentation or video, please outline devices provided and devices needed below. (Mac/PC/USB Drive, Projector, Microphone, Audio, Video) Link (required) Last modified on Aug. 8th, 2017 at 2:36pm by Corrine Olague.