Facility Use Request Form

Facility Use Request Form
Name of Organization:
Contact Person:

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Have you previously used Kankakee Community College for an event?

YesNo
What type of space are you requesting?

Meeting Room / ClassroomIroquois RoomConference Hall / AuditoriumComputer LabGovernor's RoomOther
Request Date:

MonthDayYear
Date
Request Start Time:

Hour Minutes

AM/PM Option
Request End Time

Hour Minutes

AM/PM Option
Description of Event - (include special setup needed: Technology assistance, additional tables, computer equipment, etc.)
Catering Needed? Click here for more info.
Number of Attendees:
Should be Empty: