Please read the conditions within the Hire Agreement before completing this form
CONTACT:
Timetabling, Estate Office
Townsville and Cairns Campuses
PO Box 6811 Cairns QLD 4870
Phone: (07) 4042 1068
Email: timetable@jcu.edu.au
BOOKING:
The University may require the hirer at any time to supply a detailed written description of all
activities to be conducted on the premises during the period of hire.
The University requires a copy of a Certificate of Currency showing the hirers Public Liability
Insurance to be supplied when returning the completed booking forms.
The hirer acknowledges that it is the responsibility of Timetabling staff to confirm the availability
of the premises requested on the Application Form.
The booking will not be considered effective by the University until the applicant has been
advised formally in writing of the acceptance of the application.
An enquiry MUST be made with Timetabling before completing this form, has this been done?
Proposed Hirer:
Contact Name:
Title:
Address:
Telephone (B.H) (A.H)
Email:
Purpose of Use:
Period
of Hire: Start Date:
/
/ Finish Date:
/
/
Times of Use: Start Time: Finish Time:
Rooms Required (Premises):
Estimated Attendance:
Will
there be an event attendance charge?
Is alcohol to be consumed?
Additional Services Required:
Audio Visual Equipment Requirements:
WiFi/Internet Access:
After Hours Access (Before 8am or After 6pm):
Other:
I have supplied the University with a Certificate of Currency showing my Public Liability Insurance
Applicant Signature:
Date: / /
ESTATE OFFICE Page 1 of 1
FORM SMF007 Revision 2.0 - 04/17
UseofUniversityFacilities‐ApplicationForm
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