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.Format: (000) 000-0000.
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
2 digit month, 2 digit day, 4 digit yearDate
Access End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Time

Hour Minutes

AM/PM Option

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

Other
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
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

FOR INTERNAL USE ONLY