Sample Request for Building Use
Related Media(Complete and return to church office five working days before date of use.)
Personal Information:
Today’s Date: ___________________ Date(s) Needed: ______________________________
Function: _______________________ Bldg. Open from: _____________ to ____________
Person in Charge: ___________________ Meeting from: ____________ to ____________
Group/Person Requesting Use: ___________________________________________________
Home Phone ____________________ Work Phone ____________________
Person making request is responsible for cleanup; if different, please list person’s name on next line:
Person responsible for cleanup: ________________________________________________
Home Phone ____________________ Work Phone ____________________
Areas Needed: (Circle area(s) needed)
Auditorium |
Library |
Sound Room |
Fellowship Room |
Nurseries |
Youth Building |
Grandma's Attic/Bride's Room |
Room 103 (Basement) |
Other |
Kitchen |
Room 200 (Upstairs) |
Supplies or Equipment Needed: (e.g. markers)
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Audio/Visual Equipment Needed: (Overhead, projector, podium)
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Will you need sound system? Yes _________ No ________ (Operated by person in charge of this area.)
Facilities Policies & Guidelines
and
Building Clean-Up and Set-Up Guidelines are attached.
PLEASE READ CAREFULLY AND COMPLY WITH ALL GUIDELINES.
For Office Use
Highlight areas of use on Policies and Guidelines, and attach this sheet to front of user's copy.
Non-Member Use:
Deposit Paid ____________ Total Fees ____________ Balance Due __________
Request Form, Policies & Guidelines given to:
Handed to: ______________________________________________________________________
Mailed to: ______________________________________________________________________
Faxed to: ______________________________________________________________________
Comments: _______________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Date entered on Master Calendar? _______________________________________________
A/V Personnel Contacted: _____________________________________________________
If Wedding, Clothes Closet Personnel notified of date: Yes _______ No ______
Keys
Key(s) issued? ___________ To: ________________________________________________
Date Key(s) Returned _________________________________________________________
Office Personnel ______________________________________________________________
Original given to Building Superintendent? ____________________________________
Related Topics: Administrative and Organization