Facility Request Form
Facility Request Form
EVENT DATE
TIME RESERVED ACTUAL EVENT TIME
(mm/dd/yy)
Set-up From Clean-up To Start End
10/05/2023 12:00 pm 5:00 pm 8:00 am 12:00 pm
am/pm am/pm am/pm am/pm
am/pm am/pm am/pm am/pm
am/pm am/pm am/pm am/pm
SET-UP: Requestor must contact appropriate offices 2 weeks before event to ensure arrangement of specific
needs.
Number of Tables
60+ Chairs Sound Equipment: ● YES NO
required:
Specify any special requirements: Aircon Visual Equipment: ● YES NO
Note: Kindy attached the approved letter of the event (signed by the School Administrator and VP for
Academic Affairs) for verification.
Request NOT APPROVED until applicant has received electronic confirmation from Facilities Management
Office.
Copy
Facilities Management Office
Safety and Health Officer