South Mountain Community College
External facilities/event request*form
Please complete form and email to:
roomvenue@southmountaincc.edu$
Event*Name:****
Brief*Description*of*Event*
Please*ind ic a te *the *d es ire d*s c he d u le*fo r*yo u r*e ve n t*
Event Date$
Setup*Time$
Event Start*
Time*
Event End*
Time$
Tear-down*
Time*
Event Date
Zip:$
Applicant:
Organization:
Address:
Day Phone #:
Email
Evening Phone #:
State
:
Estimated Attendance:
Meeting under 15 attendees
Meeting 15-50 attendees
Performance (dance, music, theater)
Conference
Fair / Expo
Other
Event type:
City:
Which*venue*are*you*interes te d *in ? *
Event*Setup**
Please&describe&your&setup for your event (chairs, tables, podium/lectern, layout)
AudioVisual technical needs
Please&describe&the&technical&needs&for your&event&(computer, projector screen, microphone, internet)
Additional*Comments*
Please&let&us&know&of&any&additional&information that&would&help us&improve our service
IMPORTANT**–**PLEASE**READ*CAREFULLY!
With respect to the Applicants use of the SMCC facilities, the applicant agrees to:
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1&*+.?"1"%/$%6$2##$2('"?"'"+1\$$8R"Q+$R,$2##$(%##+4+$2/Q$Q"1'."('$*%#"("+1$Y>"#+$&1"/4$'>+$1(>%%#$ 62("#"'"+1\$
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7.%?"Q+$2$3U^MX!X38MU$5!$XP=_^8P3U$6.%)$'>+$2**#"(2/'`1$"/1&.2/(+$(2.."+.$(+.'"6,"/4$'>2'$'>+$2**#"(2/'$(2.."+1$#"2R"#"',$"/1&.2/(+$2'$
#")"'1$%6$/%'$#+11$'>2/$a9ZCCCZCCC\CC$*+.$%((&..+/(+$%/$V%Q"#,$X/]&.,$2/Q$a9ZCCCZCCC\CC$*+.$%((&..+/(+$%/$7.%*+.',$N2)24+\$
SMCC$7+.6%.)"/4$8.'1$3+/'+.
Student Union
SMCC$Gymnasium$
Library Community Room
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