RECEIVED
BY
(OVER)
Revised January 29, 2021
EVENTS PLANNING MINISTRY (“EPM”) - 2021
A FACILITIES REQUEST FORM MUST BE COMPLETED IN ADDITION TO THIS FORM
THE BUDGET SECTION OF THIS FORM MUST BE COMPLETED OR IT WILL BE RETURNED TO YOU
A COPY OF THE THIS FORM WILL BE RETURNED TO YOU UPON APPROVAL OF YOUR EVENT
Name: ________________________________________ Ministry
Phone No. _______________(H) ________________(W) Title
Email Address: _________________________________ Budget
New Event Cancellation Change
GENERAL INFORMATION
Title of Event ____________________________________________________________________________________________________________
Start End
Date ___________ Time: _________ _________ Early Set-Up Time: ___________ Break-Down Time: _____________________
HOW DOES THIS EVENT HELP BUILD THE KINGDOM?
Number of Attendees ___________
Ticketed Event
Price ___________
D
O YOU ANTICIPATE MAKING A PROFIT FROM THIS EVENT? NO____ YES____
IF YES, HOW WILL THOSE PROFITS BE USED?
Church Location: □ Shadyside □ Galilee South
Sanctuary
Classroom Number(s)
Mauve Room (a floor plan must be submitted to Facilities prior to the event)
Outside/Parking Area
Offsite
Travel Requested: City ___________________________ State
Transportation:
Church Van
Private Bus
Train
Air
Personal Volunteers
Additional Comments
Requestors Signature ______________________________________
FOR EPM USE ONLY
□ Approved & Scheduled □ Not Approved
Reason(s) for Denial ________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Signed ________________________________________________ Date ______________________________________________________________
EPM Team Leader
(CONTACT THIS PERSON FOR ANY QUESTIONS OR CONCERNS YOU HAVE REGARDING YOUR EVENT)
REQUEST FOR SERVICE
TO MINISTRY CHAIRPERSONS/PRESIDENTS
YOU WILL BE CONTACTED BY THE MINISTRY REQUESTING YOUR SERVICE OR AN EPM MEMBER TO CONFIRM YOUR RECEIPT OF THIS FORM
HELPS MINISTRIES
(
CHECK ALL THAT APPLY)
Events Planning Ministry
Plan Entire Event
Food Service
Rebekah Ministry
Offsite Caterers
Other
Facilities
Set-Up
Lighting
Parking Attendants
Security
Multimedia
No. of Microphones __ Video event __ Record event
Photography _________
Ushers _________
Nurses
Interpreters
Other
MUSIC & FINE ARTS MINISTRY
(
CHECK ALL THAT APPLY)
Blessed Hands of Praise
Combined Choirs
Dancers
Inspired Sanctuary Chorus
Men of Galilee
Mime
More Excellent Way
New Vision of Praise Choir
Praise & Worship Team
Theatre
Voices of Triumph
Soloist Only
Musicians Only
Outside guests (specify)
(MUST HAVE PRIOR APPROVAL FROM MUSIC & FINE ARTS COORDINATOR)
Sister Marcy Trueheart
M&FAs Interim Coordinator
FINANCE MINISTRY
(“BUDGET COST ITEMS MUST BE COMPLETED PRIOR TO EVENT)
VENUE:
Meeting or event space rental
Room setup costs
Equipment rental and setups
TRANSPORTATION:
Airfare
Taxis or limos from airport
Parking
Transportation to and from
various venues
ACCOMMODATION:
Sleeping rooms
State accommodation taxes
Hospitality suite
Incidentals
FOOD AND BEVERAGES:
Food costs ($______ per person)
Break costs
Transportation and setup costs
(for offsite caterers)
Cleanup costs
Budget
$ Cost $
Actual
$ Cost $
PRINTING AND MATERIALS:
Meeting kit production and printing costs
Shipping costs
Nametags
Invitations/Cards
CDs
Other (specify)
SPECIAL SERVICES:
Photographer
Photo developing and printing
Entertainment and speakers fees
Ministry gifts
Florals and Decorations
Equipment Rentals
Contingencies
Maintenance
GRATUITY
TOTAL
Budget
$ Cost $
Actual
$ Cost $
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PLEASE COMPLETE AND EMAIL TO: jclay@galileenow.tv