Building Access Authorization Form

Building Access Authorization Form

Please complete the following form to request access to the building. All fields are mandatory unless otherwise specified.
Full Name*

First NameLast Name
Company/Organization
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Are you a member of SSCOC and at least 18 years old?*
Ministry or Area of Service*
Type N/A if you are not associated with a ministry.
Access Start Date*

MonthDayYear
Date
Access End Date

MonthDayYear
Date
Time

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
Reason for Access*
Check here if this is recurring event?
What area(s) do your need to access*

SSCOC Sanctuary.Class Room(s)Hairston Family Life CenterBook StoreKitchenConference RoomOther
If "other" was selected specify the location here.
Please complete this request form and submit it electronically using the options provided. Once submitted, your request will be reviewed by the Church Administrator. Be sure to enter accurate contact information so we may reach you if clarification or follow-up is needed. Thank you!
Signature
FOR INTERNAL USE ONLY
Authorized By

First NameLast Name
Date approved.

MonthDayYear
Date
Should be Empty:

FOR INTERNAL USE ONLY