CNM Facility Usage Authorization Form

CNM Facility Usage Authorization Form
INSTRUCTIONS: This form is to be submitted to Security ten days prior to the planned activity/event. The form should be approved by the Department Dean or designee. A copy of the Security reviewed/approved request will be returned to the requester.

The Facility Usage Authorization Form is one tool the Security Department along with others use to ensure CNM employees, students and visitors are SAFE. The FUAN provides necessary information to know when more resources are needed and to facilitate an appropriate response during a campus emergency.
Type of Activity *
Requester (On Site Contact) *
Requester Email *
Requester Phone Number *

Area Code Phone Number Extension
Date of the Activity *
Date of the Activity *
Day(s) of the Week *

Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Time of Activity *

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Room(s) and/or Other Facilities to be Used *
Location
CNM:

ATC Main Montoya Rio Rancho South Valley Westside WTC
CNMI:

1008 Coal Fuse Makerspace ABQid/STEMulus - Galeria Plaza
Off Campus (Location Site and Physical Address):
Services Requested

For Security requests, please contact Security 15 minutes prior to the start of your event at (505) 224-3002.
Services

Door Opening (Security) Alarm (Security) Audio-Visual (arrangements to be made at AVS_Staff@cnm.edu) Information Technology, equipment and guest accounts (arrangement to be made at ITSServiceDesk@cnm.edu) Special Event Parking (arrangements to be made at https://www.cnm.edu/depts/parking-and-fleet-services/visitor-parking/special-event-parking) Reserved Parking (arrangements to be made at https://www.cnm.edu/depts/parking-and-fleet-services/visitor-parking/special-event-parking) Heating/air, cleanup, furniture request, room set-up (Footprints ticket must be submitted for services at https://sos.cnm.edu/MRcgi/MRentrancePage.pl)
Other Services Required:
Activity/Event Information
Describe activity/event *
Will food be served? (Please indicate food services for the event, such as potluck, food trucks, etc.) *
Will extension cords or portable generators be used? *
Number of Attendees (Please include staff and volunteers.) *
Attach Any Additional Information

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Cancel of
Department Head or Designee *
Department Head or Designee Email: *
Please verify that you are human *
Should be Empty:

CNM Facility Usage Authorization Form

Location

Services Requested

Activity/Event Information