Fillable Facilities Use Application Employment application

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Facilities Use Application Employment application

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File type: PDF

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1
Columbia College
11600 Columbia College Drive
Sonora, CA 95370
209-588-5101
Application for Use of Columbia College Facilities
Completed application forms must be submitted at a minimum of thirty (30) working days prior to reservation date.
Requests for revisions, changes or cancellations must be submitted in writing no later than three (3) working days prior
to reservation date. Submit completed application forms to the Facilities Use Office/Instructional Materials Center (IMC)
at Columbia College. Do not send separate emails regarding this reservation to any other areas/departments.
Applicant Information
Name of
Organization:
Date:
Address:
Street Address
City
State
Phone:
Email
Contact: ____________________________________
Does Organization maintain IRS
Non-Profit 501C3 Designation Yes No
Event Information
Date(s)
Requested:
Event
Start Time:
Event
End Time:
Facility/Building
Requested:
Description of Event:
Anticipated Attendance:
______________________
Will minors be in attendance?
YES
NO
Will there be admission fees, ticket sales, contributions collected at this event?
YES
NO
If yes, amount to be charged per person/ticket
$__________________
Is College set-up of the facility/building required?
YES
NO
If yes, please identify specific instructions :
Open Facility:
AM/PM
Close Facility:
AM/PM
2
Equipment Requested
Tables (6ft)
Tables (8ft)
Chairs
Trash Can
BBQ (Carkeet Park)
Bleachers
Flags
Podium
Platform/Riser
Stage
Other
Other
Technology/Media Services
Data Projector
Computer/Laptop
Internet Access
Portable Sound
Microphone
Other
Note: Identify number needed
Hospitality Services
Will food be made available to attendees?
YES
NO
If yes, please describe type (i.e. breakfast hospitality, prepackaged food for sport event, water/coffee only, etc.)
Are catering services being requested from either the Columbia College Snack Bar or Columbia College Culinary Dept?
YES
NO
If yes, please contact Jeff Whalen, Auxiliary Services Manager at 588-5319 or Gene Womble, Hospitality Management
Coordinator at 588-5135.
Requesting Use of Oak Pavilion Snack Bar?
YES
NO
Oak Pavilion Snack Bar: The Columbia College Athletic teams maintain the first right of refusal to operate the Oak Pavilion
Snack Bar for food sales as a fundraiser. All food and staffing will be provided by the Teams; Coaches (or designee) will
supervise.
In the event the Athletic Teams are unable to operate the Oak Pavilion Snack Bar, applicant will have the option to do so and
retain any profits made from food sales. A current ServSafe Certification is required from permittee to sell prepared foods.
Otherwise, food sales are limited to pre-packaged snacks only such as chips and bottled/canned beverages. Permittee will
provide their own cooking equipment. College cooking equipment may be available for use at a charge of $50.00 plus a
refundable $100 deposit. Refund is based on a final inspection that equipment was cleaned properly and is in good working
order.
Parking
Please note that campus parking regulations are enforced at all times while on campus. Please ensure your attendees
have a valid parking permit and park only in designated parking spaces. Please contact Greg Elam, Campus Security
Supervisor, at 588-5213 for assistance.
Signature
Signature:
Date:
3
Office Use Only
Cost Estimate
Security
$
Custodial
$
Grounds
$
IT Technician
$
Facility Fee
$
HVAC
$
Deposit
$
Other
$
Total Estimated Fees
$
Deposit Received – Date ________________________
$
Balance Received – Date _______________________
$
Date Scheduled: ________________________
Date Cancelled: _________________________
Prepared By:
Date
Approval:
Vice President, College & Administrative Services
Date
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Facilities Use Application Employment application

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Completed 22 March 2020

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