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ENCOUNTER Facility|Equipment Request
Application for Building & Equipment Use on Campus. Please fill out this form completely at least one week ahead of the event.
Name
*
First
Last
Date
*
MM
/
DD
/
YYYY
Email
*
Event Owner
Contact Person
*
First
Last
Phone
*
###
-
###
-
####
Is this request:
*
Please select
New
A Revision
Additional info
Event Name
Is this a recurring event?
Please select
Yes
No
Meeting Day(s)
Mon
Tue
Wed
Thurs
Fri
Sat
Sun
Event Start Date
*
MM
/
DD
/
YYYY
Event End Date
*
MM
/
DD
/
YYYY
Starting Time
HH
:
MM
AM
PM
AM/PM
End Time
HH
:
MM
AM
PM
AM/PM
Building(s)/Rooms Needed
102
103/104
107/108
109/110
206
301
302
303
422
423 (Jon's office)
424
425 (Kelly/Lindsey's office)
426
427
428
429
431
433
Admin Office 2
Admin Office 4
Auditorium
Auditorium Audio/Tech
Auditorium restrooms
Auditorium back wall
Back parking lot
Breakroom
Children's Patio
Courtyard
Facility Request 1
Facility Request 2
Facility Request 3
Facility Request 4
Green Room
Johnson Parking Lot
Kitchen
Living Room
Mother’s Feeding Room
New Parent Room
Nursery
Pavilion 1
Pavilion 2
Playground- 100 Building
Portico 1
Portico 2
Portico 3
Ralston Parking lot
Ralston Parking lot lawn
The PLEX
The PLEX Audio/Tech
The PLEX lounge
The PLEX patio
The Plex restrooms
Facilities Set-up Time Finished
HH
:
MM
AM
PM
AM/PM
Takedown Time
HH
:
MM
AM
PM
AM/PM
Equipment Needed
Please be specific in your equipment needs. For specific set-up instructions, please fill out below or indicate you will attach a diagram.
No. of Tables
No. of Chairs
Does this event require facilities support?
*
Please select
Yes
No
TV/DVD needed?
*
Please select
Yes
No
Do you need an audio/tech person?
*
Please select
Yes
No
If yes, what tech positions are needed? Sound? Lights? Powerpoint/Lyrics?
What time does tech person/team need to arrive?
HH
:
MM
AM
PM
AM/PM
Will the tech person/team be paid ($25/hr) or volunteer?
Paid
Volunteer
Additional
Instructions
