Fillable ON-CAMPUS FACILITIES USE REQUEST (San Bernardino Valley College)

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ON-CAMPUS FACILITIES USE REQUEST (San Bernardino Valley College)

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ON-CAMPUS
FACILITIES USE REQUEST
If multiple dates: Must Submit Attachment B
Club
AUDIO-VISUAL
IF
AV
EQUIPMENT
IS
REQUIRED
YOU
MUST
CONTACT
AUDIO
VISUAL
@
909-384-4434
SET-UP
ITEM(S)
NEEDED
Must Submit Attachment A
PLATFORMS
AUDITORIUM
&
MAC
(NH
164)
1 THEATER
TECHNCIAN
REQUIRED
Ext:
Mobile
#:
PARKING
NEEDS
Parking
Passes
-
Email
sbvccbo@sbccd.cc.ca.us
NO
CITING
IN
LOT(S)
#
#
OF
VIP
PARKING
SPACES
PODIUM
PLATFORM
TRASPORTATION OF ITEMS
FLAGS
# OF TABLES - 8FT
# OF TABLES - ROUND
# OF CHAIRS
# OF TRASH CANS
# OF EVENT SIGNS
# OF BBQ'S
Total:
Direct Cost Estimated Fees
Custodial:
Grounds:
Maintenance:
Multimedia Specialist:
Maintenance Fee:
Police:
Theater Tech:
Utilities:
Email Completed Request To: SBVC-FacilityReq@sbccd.cc.ca.us
Events that do not require any set-up must be submitted at least five (5) working days prior to the event.
Events that require minimal set-up must be submitted a minimum of ten (10) working days prior to the
event. Major events must be submitted a minimum of forty-five (45) working days in advanced of the
event to allow necessary time for planning
Revised 6-19-19
Event
End Time:
Date of Event:
Facility(s) Requested:
Name of Organization:
Person In Charge:
Department:
Telephone #:
E-Mail:
Event Start Time:
Open Facility Time:
Close
Facility Time:
Name of Event:
Event Information: What is the event for and what is happening at the event.
Expected # of People Attending:
Check Box For Any Item Below:
People from Outside of Campus Attending:
Food
Being
Served:
Alcohol:
Attach
Permit
from
SBVC
Foundation
Office
Security/Police
Needed:
Authorized/Advisor
Signature:
Student Life Signature:
Dean of Humanities Signature:
Auditorium/Mac (NH 164)
For
Special
Instructions:
Submit Attachment B
Date Signed:
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ON-CAMPUS FACILITIES USE REQUEST (San Bernardino Valley College)

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Completed 25 July 2020

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