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 CodePhone NumberExtension
Date of the Activity*
Date of the Activity*
Day(s) of the Week*

SundayMondayTuesdayWednesdayThursdayFridaySaturday
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:

ATCMainMontoyaRio RanchoSouth ValleyWestsideWTC
CNMI:

1008 CoalFuse MakerspaceABQid/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 - PLEASE REMEMBER TO SUBMIT SEPARATE DEPARTMENT WORK TICKETS (10 days prior of the event) FOR EVENT SUPPORT

ASTRA (room reservation)Audio-Visual (Service Now ticket must be submitted via help.cnm.edu)Information Technology, equipment and guest accounts (Service Now ticket must be submitted via help.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)PPD Event Support, Heating/air, cleanup, furniture request, room set-up ( Service Now ticket must be submitted for services at https://cnmprod.service-now.com/esc?id=sc_cat_item&sys_id=1534dadbff599210f74ff8537c4fd997)ADA services (ASL Interpreter, Closed Captioning, Descriptive, Faculties Access). Arrangements to be made at http://livecnm.sharepoint.com/teams/ADACompliance)MCO services (Marketing, Communication) (MCO ticket must be submitted for services at https://livecnm.sharepoint.com/teams/MCO/requests/SitePages/RequestHome.aspx)Alarm (Security)Door Opening (Security)
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

Cancelof
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