Quarterly Activity Proposal

ACTIVITY REQUEST FORM
This replaces the following forms: Space Request, Announcement, Clerical, Services, Website & Transportation. You must still complete any Finance forms if applicable.
Name of Organization:*
Event:*
Name of Facilitator*
Date of Event:*

MonthDayYear
Date
IMPORTANT NOTICE: Requests can only be made for times between 7:00 am - 8:30 pm. Events outside this range will not be granted.
Start Time:

:HourMinutesAM/PM Option
End Time:

:HourMinutesAM/PM Option
Set-Up Time:

:HourMinutesAM/PM Option
Break-Down Time:

:HourMinutesAM/PM Option
Contact Name:*
Phone Number*

Area CodePhone Number
Email*
example@example.com
- Please submit 14 days in advance of event/meeting!
- Meeting Room needed?
  
  YesNo
- Preferred Rooms:
- Describe Setup:
- Childcare Needed
  
  YesNo
- If yes, how many
- Attach Setup:
  
  Browse Files
  
  Cancelof
- Is advanced Registration required?
  
  YesNo
- Are Release/Consent Forms needed?
  
  YesNo
- Attach Consent Form:
  
  Browse Files
  
  Cancelof
- Registration Start Date:
  
  MonthDayYear
  Date
- Registration Deadline:
  
  MonthDayYear
  Date
- Is participation limited:
  
  YesNo
- Maximum Registrants:
- Childcare Needed:
  
  YesNo
- How Many?
- Attach Registration Form:
  
  Browse Files
  
  Cancelof
- Please submit 14 days in advance of event/meeting!
- Announcement Type
  
  Bulletin (Submit 30 days in advance)Written AnnouncementEmphasis
- Verbiage:
- Start Date
  
  MonthDayYear
  Date
- End Date
  
  MonthDayYear
  Date
- Table Needed?
  
  YesNo
- Attach Announcement:
  
  Browse Files
  
  Cancelof
- Preferred Onsite Location:
  
  Fellowship Hall (Seats 75)Lifelong Learning Center (Preferred caterer required)
- Brentwood Preferred Caterer:
- Please submit 14 days in advance of event/meeting!
- Check all that apply:
  
  Laptop NeededPowerPointMicrophoneMusic playedCD/DVD playedProjectorOther
- Additional Information:
- Upload Presentation:
  
  Browse Files
  
  Cancelof
- Please allow at least 14 days for completion.
- Administrative Needs: (Check all that apply)
  
  OnlineCopying/PrintingSales Tax-Exempt FormOther
- Graphics Needed: (Check all that apply)
  
  FlyerBrochureProgramOther
- Supplies Needed: (Check all that apply)
  
  FoldersName BadgesLabelsNotepadsPens/PencilsOther
- Additional Information:
- Attach Document:
  
  Browse Files
  
  Cancelof
- Check all that apply:
  
  VolunteersChildcareUshers/GreetersSecurity (Police Officers)Parking AttendantsOther
- Requests received the by 1st of the month will be posted on the 15th of the same month. Requests received the by 15th of the month will be posted on the 1st of the following month.
- Check all that apply:
  
  WebsiteSocial MediaOnline StoreE-blast:RegistrationMinistry Email Account
- Website Start Date:
  
  MonthDayYear
  Date
- Website End Date:
  
  MonthDayYear
  Date
- Online Store Start Date:
  
  MonthDayYear
  Date
- Online Store End Date:
  
  MonthDayYear
  Date
- Social Media Start Date:
  
  MonthDayYear
  Date
- Social Media End Date:
  
  MonthDayYear
  Date
- E-blast Start Date:
  
  MonthDayYear
  Date
- E-blast End Date:
  
  MonthDayYear
  Date
- Description:
- Please attach file:
  
  Browse Files
  
  Cancelof
- Please attach file:
  
  Browse Files
  
  Cancelof
- Please submit 14 days in advance!
- Is transportation needed?
  
  YesNo
- Description of Transportation Use:
- Destination:
- Destination Address:
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Destination Number:
  
  Area CodePhone Number
- Departure Date:
  
  MonthDayYear
  Date
- Return Date:
  
  MonthDayYear
  Date
- Departure Time:
  
  :HourMinutesAM/PM Option
- Return Time:
  
  :HourMinutesAM/PM Option
- Expected Number:
- Type Requested:
  
  BusVan
- Attach Itinerary:
  
  Browse Files
  
  Cancelof
- Should be Empty:

ACTIVITY REQUEST FORM