Distance Education

Building Use Request Form

Please complete the form below.  Once you have submitted this form, you will be notified that your request has been approved or denied.  Please allow up to three business days for a response.

(* indicates a required field.)

* 1). Person or Organization
* 2). Contact First Name
* 3). Contact Last Name
* 4). Address Line 1
5). Address Line 2
* 6). City
* 7). State
* 8). ZIP
* 9). Email Address
10). Alternate Email Address
* 11). Phone Number 1
12). Phone Number 2
13). Name of Event
*14). Requested Event Date
*15). Person Responsible for Event
*16). Space Requested (Check all that apply) Chapel Fellowship Ctr. Classroom
17). If choosing classroom, please select number of rooms needed 1 2 3 4 5
18). If choosing classroom(s), what capacity is needed for each room?