Campus Location: San Jacinto Menifee Banning Temecula Education Complex Temecula Higher Education
MT. SAN JACINTO COMMUNITY COLLEGE DISTRICT
MAINTENANCE & OPERATIONS DEPARTMENT
APPLICATION FOR APPROVAL OF PUBLIC, DISTRICT OR STUDENT
USE OF SCHOOL FACILITIES
Name of Requestor: Date Submitted:
Organization Type: MSJC
Non Profit
Recreation Private Religious
Political
Youth
Other (please specify)
Organization/ Department: Email:
Contact Number: Fax Number:
AREA CODE NUMBER AREA CODE NUMBER
Mailing Address:
STREET ADDRESS CITY STATE ZIP CODE
Purpose of the requested use:
Day
Date of Event
Setup Time
Event Start Time
Event End Time
Breakdown Time
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
Facility/ Room(s) Requested:
Will restrooms be needed? Yes No
Special equipment or setup request:
District Employees: Is a Work Order needed? Yes No
If applicable; input a Work Order Request using the Districts Work Order system- Maintenance Connection.
NOTE: For Theatre use, please contact Jeffrey George at jgeorge@msjc.edu no less than thirty days prior to the
Use of School Facilities submittal.
Is activity open to the public? Yes No Number of expected attendances?
Will admission be charged or a donations request for event? Yes No
Print Name: Signature:
Title: Date:
ANY QUESTION S OR CONCERNS P LE ASE C O N TAC T THE M & O DEPARTMENT
(951) 487 - 3105 (SJC) OR ( 951) 639 - 5108 (MVC)
The undersigned hereby agrees to abide by the procedures and regulations of the college printed on the reverse side of this
form relating to the use of school facilities.
PLEASE NOTE: Total Fees Due and Certificate of Insurance must be received at least five working days prior to the use of
facilities.
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signature
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PROCEDURES & REGULATIONS FOR USE OF SCHOOL FACILITIES
PROCEDURES
Each organization wishing to use college facilities must submit a completed Application for Use of School
Facilities request form.
1. An authorized administrator of the organization must sign the application or such other representative as
the organization may appoint. If the representative is other than an officer, she/ he must have written
authorization to sign for the organization.
2.
The application must be submitted to the Maintenance & Operations Office no less than 30 days prior
to
the scheduled date. For Theater requests i.e., equipment, computer programs please contact Jeffrey
George at jgeorge@msjc.edu no less than 30 days prior to submittal.
3. The officer or representative of the organization, by signing the application, affirms that he has received,
read and understands the regulations stated below.
4. Before the use of facilities takes place, a certificate of insurance for $1,000,000 combined single limit
liability policy in which Mt. San Jacinto Community College District is listed as insured, must be
received at least five working days prior to se of district facilities. (not required for a MSJC sponsored
event)
5. The event will be cancelled if payment and/ or insurance in not received 48 hours prior to event.
REGULATIONS
1. The using organization is responsible for the conduct of each and all of its members while they are on the
college premises. All college rules and regulations must be adhered to.
2. College officials have the right to terminate a contract immediately and without notice upon its discovery
of a violation of any term, condition or provision of this policy.
3. The using organization is required to furnish such supervision and law officers as the college
administration determines is necessary for the protection of individuals, property and to the enforcement
of these regulations.
4. Use of School Facilities is not to interfere in any manner with the normal activities of the college.
5. Parking is restricted to the following parking lots: San Jacinto Campus lots B, C & D and the Menifee
Campus lots A, B, C & D at the cost of $2.00 per day, per vehicle. No vehicles are to enter upon or drive
on any part of the campus without expressed written permission of the college district.
6. Smoking is allowed only in designated areas.
7. No alcoholic beverage may be brought onto or consumed upon the college campus.
8. Participants are restricted to such facilities, as permission for use has been granted, including restrooms.
9. Participants are required to conform to any requests or directions given by district Security Guard,
Custodian, Grounds Keeper or Technician in charge, regarding the use and proper care of all district
property.
10. The college must approve any decorations, props, equipment or other devices brought onto the premises.
A fire retardant certificate may be required for decorations. No decorations may be attached to buildings
or equipment without prior approval and supervision of a district representative.
11. The using organization is responsible for the removal and proper disposal of all decorations, props,
equipment or other devices used in connection with an event immediately after the event. A minimum
fee of $100 or the actual clean-up cost will be charged to the organization.
12. Using organizations are responsible for return of facilities to the same conditions as they were at the time
of entry except for normal sweeping and final disposal of trash.
13. All food service and use of the student center cafeteria shall be arranged with the Director of Food
Services.
14. The user organization is responsible for and shall be liable for any damage to college equipment including
repairs or replacement occasioned or made necessary by the negligence of or misuse of the organization.
15. No activity shall be conducted which constitutes a violation of any federal, state, or local law.
CHARGES:
Room #
Facility/ Building #
# of days
# of hours
Current Rate
Total Amount
$
$
$
$
$
$
$
$
Other Charges: $
TOTAL DUE: $
APPROVAL OF MAINTENANCE & OPERATIONS: DATE:
APPROVAL OF OFFICE OF INSTRUCTION: DATE:
APPROVAL OF VICE PRESIDENT, BUSINESS SERVICES: DATE:
Distribution list:
Instruction
Maintenance
Police Department
Public Information
FOR OFFICE USE ONLY
MT. SAN JACINTO COMMUNITY COLLEGE DISTRICT
SCHEDULE OF FEES
USE OF SCHOOL FACILITIES
Type of Facility Non Profit Commercial
ClassroomSeating up to 40 $15.00 per hour $20.00 per hour
ClassroomSeating over 45 $20.00 per hour $25.00 per hour
Computer ClassroomMax Seating 30 $20.00 per hour $25.00 per hour
Cafeteria/Dining Room $40.00 per hour $50.00 per hour
TheatreSeating up to 300 $50.00 per hour $75.00 per hour
Shower/Locker RoomPer side $70.00 per day $80.00 per day
Conference RoomMax Seating 30 $10.00 per hour $15.00 per hour
Conference RoomSeating over 45 $15.00 per hour $20.00 per hour
GymnasiumMax Seating 776 $40.00 per hour $50.00 per hour
$325.00 per day $375.00 per day
Football Field/Track $50.00 per hour $75.00 per hour
$430.00 per day $450.00 per day
Soccer Field $20.00 per hour $25.00 per hour
$175.00 per day $200.00 per day
Baseball Field $35.00 per hour $40.00 per hour
$275.00 per day $300.00 per day
Tennis Courts (per court) $15.00 per hour $20.00 per hour
Parking Lot $75.00 per hour $80.00 per hour
Additional charges (If required):
Custodial fees: Custodian(s) are required to be present for all events $25.00 per hour
Audio Visual Fees: An audiovisual technician is required to be present when sounds system or special lighting is
required. $30.00 per hour
Grounds Keeper: The District, depending upon the event, may require grounds keeper (s).
$25.00 per hour
Computer Technician: A computer technician is required to be present when computer equipment is required.
$30.00 per hour
For campus safety services and pricing please submit a Campus Safety Event/Activity Request
Form. You will be notified for availability of services and actual cost.