Meeting Room Application

Meeting Room Request Form (fields in red are required)
Today's Date:
Requested Meeting Date(s):
Set Up Time:
Start Time:
End Time:
Number of Attendees:
Organization Name:
Contact Name:
Contact Phone Number:
Email address:
Purpose of your meeting, IN DETAIL:

Available Equipment (check items needed):
Available Equipment (check items needed):
Number of Tables:
Number of chairs:
Number of laptops (1-12):
Podium
Lapel Microphone	Handheld Microphone
TV	DVD
LCD Projector	Kitchenette
Keyboard	Piano
Screen	Easel
Whiteboard & Markers	Sound System
12-Cup Coffee Maker	24-Cup Coffee Maker
Will you be bringing in refreshments?
Will you be bringing in refreshments?
Yes No

I have read and I understand the Meeting Room Policy and the Expected Behavior Policy (links to the policies are located at the top of this page). I certify that this meeting will be educational, cultural, intellectual, or charitable in nature. I declare that the information given above is true. Through me, the group is responsible for any infractions of the regulations and damages to library property incurred during or in connection with the use of the meeting room. I will abide by the maximum occupancy limits, as stated in the policy.
NO collection of monies may be taken on library premises:
NO soliciting may take place on library premises:
Please indicate that you agree with the above statements.
Yes No