Application For Use Of Space Template

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APPLICATION FOR USE OF SPACE AT ROXBURY COMMUNITY COLLEGE
Space Requesting:______________________________________________________________________________
Organization Name:_____________________________________________________________________________
Contact Name:_________________________________________________________________________________
Address:______________________________________________________________________________________
City____________________________________________State__________________________Zip Code________
Telephone:_____________________________________ Email Address:__________________________________
Event Name:___________________________________________________________________________________
Date(s) of Event:_______________________________________________________________________________
Event Start Time:_________________ Event End Time:___________________
Set Up Time:________________ Breakdown Time:_________________
Amount of people expected to attend:_______ Will children attend your event?________________
Do you have a need for parking? _________ If yes, how many cars?_____________
Will there be entertainment:_________________________ Will alcohol be served?__________________________
Will food be served?__________________ Caterer Name: _____________________________________________
Will tickets be sold:___________ Will there be an exchange of monies, if yes why?__________________________
Please describe your equipment needs/ setup needs:____________________________________________________
_____________________________________________________________________________________________
Will there be any deliveries?______________________________________________________________________
Name of Delivery Company:______________________________________________________________________
Date and Time of Drop Off:_______________________________________________________________________
Date and Time of Pick Up:_______________________________________________________________________
Any additional comments/ special needs:____________________________________________________________
_____________________________________________________________________________________________
Please note this is an application and NOT an event confirmation. Please do not advertise your event until
you receive written confirmation. Rental rates are associated with the execution of a rental agreement.
Submitted by:
____________________________________ ______________________________________ ________________
Signature
Print Name
Date
OFFICE USE ONLY
Received by:_____________________________________________ Date:_______________________________
Approved:_______________________________________________ Date:________________________________

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