Fillable Mccroomrequest-v3 - MCC ROOM REQUEST- RE EDIT 10.10.11

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Mccroomrequest-v3 - MCC ROOM REQUEST- RE EDIT 10.10.11

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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!supervise!the!event!from!beginni ng!to!end.!!!!!
2.!!Posted!signs!directing!gu e s t ! will!use!blue!tape!and!be! r e moved.!
3.!!Noise!level!will!be!appropriate/monit o r e d ! fo r ! a!shared!space.!!!!!!
4.!!Tables!will!be!wiped!and!trash!removed!to!outside!r e c e ptacles.!
!
! I!AGREE!to!the!mentioned! above!requirements!
!
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5.!!Tables/chairs!will!be!r e t urned!to!the!original!arrang e ment.!!!!!!!!!!!
6.!!Documents/presentations!on!the!computer!will!be!t r ashed.!
7.!!All!doors!to!the!buildin g ! will!be!locked!and!checked!u pon!exit.!
!
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Mccroomrequest-v3 - MCC ROOM REQUEST- RE EDIT 10.10.11

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Completed 9 June 2020

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