!"#$%&'(#'%)(*!"#$%") # +, " ) (- . # ' / +$ 0- 1 +2 +0+, "-
A
PPLICATION
)&)C
ONTRACT
)F
ORM
)
Room!use!of!the!M
ULTI
C
ULTURAL
)C
ENTER
!
3&#+2+#4-3%$)-5677-89:-- - 7,";$%$"&$-3%$)-5677-88:
Submit!a!minimum!of!ONE)WEEK!in!advance!of!the!event.!
Today’s!Date:!__________________!
CONTACT:)
Contact!Name:!______________________________________!!Group:!____________________________!
Phone#:!(!!!!!!!!)!!!!!!!!!!!!!!!!!!!!!!!!E‐mail:!________________________________________!
Name!of!Advisor/Faculty/Staff:!________________________________________________________!
(in!attendance)!
Phone#:!(!!!!!!!!)!!!!!!!!!!!!!!!!!!!!!!!!E‐mail:!________________________________________!
DATE)OF)EVENT:)
Request:!Day:!!M!T!W!R!F!!!Date:!________________!!!____________,!__________________!
Month!! Day!! !Year!
!OR!
Multiple!Dates:!___________________________________________________________________________!
!!OR!
ONGOING:!!Quarter:!_________________!From:!____________________!To:______________________!
Date! Date!
!!!!!!!!Start!time:!_____________!am!!!!!!!pm!! !!!!!!!End!time:!______________!am!!!!!!!pm!
Meeting!!!!Soci al! !!!Event!!!!!Club!!!!Con f erence!!!!!!Other:!___________________________________ !
Have!Event!Included!on!a!public!calendar!online!(view!only)?!
http://www. deanza.edu/iis/m ccroomrequest.html!
NAME)OF)EVENT:!_______________________________________________________________ !
Area)Use)Agreement)
By!checking!below,!we!comply!with!these!use!requirements:!
1. A!Faculty/Staff!will!superv i s e ! t h e ! e v e nt!from!beginning!to!end.!
2. Posted!signs!directing!guest! will!use!blue!tape!and!be! r e moved.!
3. Noise!level!w
ill!be!appropriate/monit o r e d ! fo r ! a!shared!space.!
4. Tables!will!be!wiped!and ! t r ash!removed!to!outside!recepta c l e s .!