NCC Room Request Form
Organization Name
*
Main Contact Person
*
First Name
Last Name
Contact Email
*
example@example.com
Date Requested
*
-
Month
-
Day
Year
Date
Second Date Requested if needed - only if the first date requested is unavailable
-
Month
-
Day
Year
Date
Start Time of Event
*
Hour Minutes
AM
PM
AM/PM Option
End Time of Event
*
Hour Minutes
AM
PM
AM/PM Option
Approximate Number of People Expected
*
Please give details about the purpose and intent of this event.
*
Does this event serve refugees specifically?
*
Yes
Not specifically
I understand that all I get is a room (with tables and chairs and a screen). I need to bring my own HDMI cable, writing material (pens and books) and everything else needed for my meeting/event.
YES, I understand and I will bring all we need for the meeting/event
NO, I do not understand
If we bring food and drinks in the room we will clean up after ourselves. We shall leave the room, including the sink, clean. If we do not leave the room clean, we agree to no longer be allowed to use the NCC Rooms.
Yes, I agree
No, I do not agree
I understand that this form is a request for space, not a reservation.
*
Please Select
Yes, I understand.
No, I need more help.
This acknowledgement acts as your signature.
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