Office use: Date Received _______________

State Street UMC
Building Use/Van Scheduling Form

Event Information

 

Event:

Name of Sponsoring Group:

Staff liaison:

Contact Person:

Daytime Phone:

Date(s) of event:

Beginning Time (including set up):

Ending Time (including take down): 

Room(s) needed:

Van(s) needed (requires approved drivers):

Equipment needed:

_____ Chairs (include # needed

_____ Tables (include # and shape needed)

_____ TV/VCR

_____ Projector

_____ Over head projector

_____ Sound System (as available/fee payable to technician)

_____ Digital camera

Other Needs: _____________________________________________________

Personnel needed: (dependent on availability)

_____ Custodian

_____ Kitchen manager

_____ Sound technician

_____ Childcare

 Room Setup (if change in room setup is required provide a map in the area below or attach to this form.)

__________________________ _______________
Requested by Date