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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Student Union
SMCC$Gymnasium$
Library Community Room