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Facilities Use Request Form

General Event Information NOTE: All information must be included in this form. Please allow two weeks for processing.

If this is a sponsored event, please fill out the online Sponsor Event form, print and have a contract employee sign it before returning it to the On Campus Facilities Use Office in MNO 112. A Contract Employee must be designated for any Sponsored Event on campus, soliciting contributions, inviting the public, or charging a fee. Please contact Business Services to answer insurance questions for events.

For more information please call 909-389-3217.

Name of Organization: *
Expected Attendance:
Person in Charge: *
Type of Event:
Telephone: *
Will there be music?
Email: *

Catering

Will you use an outside caterer?
If so, please submit Caterer Agreement.

Merchandise

Will you be selling or fundraising any merchandise?
If so, describe and submit a copy of Food Handler's Cert.

Facility Desired
List date or dates desired. The facility will be opened 30 minutes before event is scheduled to start and closed 30 minutes after the scheduled end time.

Number of Meetings:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:
1. Date: (mm/dd/yyyy)*
  Day:
  Open Facility/Setup Time: *
  Event Start Time: *
  Event End Time: *
  Close Facility Time: *
2. Location:
3. Location:
4. Location:
5. Other Location:

Custodial

Bar B Q:
Podium:
Open Doors:
Close Doors:
Inside Trash Cans:
Tables(number):
Chairs (number):
Special Instructions:

Audio Visual If requiring Audio Visual Equipment, please fill out AV form.

Mic and P. A. System:
Display for Presenting:
Special Instructions:

Please contact Tech Services when scheduling your event: craftonhillav@dlokoko.com, 909-389-3316.

Maintenance Please note: It is not necessary to request Air/Heating/Power during normal school hours, M-F.

Air/Heating:
Turn on Power:
Lights:
Special Instructions:

Campus Police

Permits Requested:
Officers (number)
Open Doors:
Close Doors:
Close Parking Lot:
Open Restrooms:
Barricade:
Special Instructions:

Grounds

Trash Cans (number):
Cut Grass:
Special Instructions:

Theater

Stage Manager:
Sound Tech (number):
Stage Hand (number):
Screen:
Band/Choral Shell:
CD Player Tech:
Tape Player:
P.A. System:
Main Curtain:
Podium:
Special Instructions:

Additional Information

Who will be attending?
Who will be participating in putting on the event?
Will there be any Vendors?
Will you be renting any equipment?
Promote this event on the website?

If you are human leave this blank.

* Required Fields

Academics

Programs

Community

Campus Info

Outreach

Parking and Safety

Facilities Use Request Form