Lori Vrtiska Seibel Community Room
The Community Health Endowment offers use of the Lori Vrtiska Seibel Community Room at no charge to local nonprofit organizations for business-related purposes Monday through Friday, from 8:30am to 5:00pm. All guests, coordinators, and caterers must not arrive prior to 8:30am and must be off the premises by 5:00pm. Classroom style seating is available for 20 individuals (10 tables, two chairs at each table). Private parties, religious services, fundraising, and sales solicitations are not permitted in the space, and CHE’s approval of a reservation in no way constitutes an endorsement or promotion of the individual, entity, or organization making such reservation.
Please request the room as soon as possible, and no less than 72 hours prior to the event date. Room requests are processed on a first-come, first-served basis and are not guaranteed until approval email is sent. Submission of this request form does not guarantee your reservation.
An approval or denial email will be returned by email within 48 business hours after your request has been received. If you have not received confirmation, please call 402-436-5516
Organization Information
Organization
*
Address
*
Phone
*
Are you a 501(c)(3) non-profit?
*
No
Yes
Primary Contact (This should be the individual who is responsible for scheduling and will be on-site)
*
First Name
Last Name
Primary Contact's Email
*
example@example.com
Primary Contact's Phone Number
*
Purpose
*
Event Date
*
-
Month
-
Day
Year
Date
Event Time
All guests, coordinators, and caterers must not arrive prior to 8:30am and must be off the premises by 5:00pm.
Arrival for Setup
*
Hour Minutes
AM
PM
AM/PM Option
Meeting Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Meeting End Time
*
Hour Minutes
AM
PM
AM/PM Option
Clean-up End Time
*
Hour Minutes
AM
PM
AM/PM Option
Number of People Expected (including speakers/coordinators)
*
Audio-Visual Needs
The Lori Vrtiska Seibel Community Room includes a television screen and HDMI cable for laptop projection. Apple brand adapters are NOT included. CHE does NOT provide a laptop.
Catering Information
Will the meeting be catered?
*
No
Yes
If yes, name of the caterer
Caterer's arrival time
Hour Minutes
AM
PM
AM/PM Option
Other Comments or Questions
Comments from CHE Staff:
Submit
Should be Empty: