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Room!use!of!the!M
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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 .!
I!AGREE!to!the!mentioned!above!requirements!
<($)0$-Submit-#=+0-;,%>-#,-#=$-!!.-1+2+0+,"-300+0#)"#-Mary Medran,-)#E-medranomaryG;=/)H$/'
*Must!have!Adobe!Acroba t!8.0!or!above-
5. Tables/chairs!will!be!retu r ned!to!the!original!arrangem e nt.!
6. Documents/presentations!o n!the!computer!will!be!trash e d .!
7. All!doors!to!the!building!w i l l ! be!locked!and!checked!upon!exit.
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