Rosenberg Civic Center Complimentary Use Request Form Page 1 of 2
Updated: 4/11/2018
Civic Center
Complimentary Use Request Form
COMMUNITY USE PROVISIONS
Entities which share the City’s common goals of provision of services to enhance the quality of life of Rosenberg residents,
and/or other entities which hold and provide copies of active tax-exempt designations generally described under section
501(c)(3) of the Federal Tax Code, and which provide direct services to the Rosenberg community, subject to approval,
shall enjoy use of rooms at the Civic Center for no fee, up to a maximum of one use per month, during regular rental
hours (Monday – Thursday from 7:30 a.m. to 9:00 p.m., and Friday from 8:00 a.m. to 5:00 p.m.).
Schedules are subject to management approval, and events must be booked at least 30 days out, and no more than 12
months out. Should significant set up be required, the Center may require the entity requesting use to provide assistance
necessary for room set up.
Requests for use of the Center under the community use provision must be made via the Complimentary Use Request
Form, and will be reviewed/approved before any reservations are made. Staff will make every effort notify applicant
within five (5) business days of request whether or not the request can be honored, and will follow-up with the appropriate
rental documents, or to make alternate arrangements. Questions regarding requests for Community Use of the Civic
Center should be directed to the Civic Center Manager, at (832) 595-3520.
Entity requesting use of Center: ______________________________________________
Authorized Representative Name, Title: _______________________________________
Term of Office (if applicable): ________________________________________________
Contact Information (Phone, Email Address): ____________________________________
Organization Mailing Address: ________________________________________________
Secondary Contact Name, Title: _______________________________________________
Is your organization a federally-designated 501(c)(3)? ______________________
If so, please attach a copy of your designation certificate with this request
What is your organization’s purpose? _________________________________________
Do you provide direct services to the citizens of Rosenberg, and if so, what are they?
____________________________________________________________________
Has your entity used the Civic Center previously, and if so, for what sorts of functions?
_________________________________________________________________________
Complete usage request chart on following page
