Maintenance Request Form

1

Your Name* This field is required.What is your first and last name?

First Name

Last Name

2

Email* This field is required.What is a good email address to contact you?

yourname@ctk.church

3

Which campus is this for?* This field is required.Please select one from the dropdown menu

4

Request Urgency* This field is required.

I can't get my work done.

I need this really soon.

When it's convenient.

5

Please provide a brief summary for this maintenance request.

7

Where is the furniture moving from?

Moving From

Moving To

What needs to be moved?

8

Where is this maintenance needed?* This field is required.Please select all that apply

Classroom/Shared Space

Van/Trailer

Office

Other

9

Room/Location* This field is required.Please provide a room name or office number

10

What kind of repair is needed?* This field is required.Please select all that apply

Plumbing

Electrical

Drywall

Other

11

Please provide detailed information regarding this request.* This field is required.

12

Please attach any images/video to clarify your request.Note specific areas of repair with a brightly colored sticky note and detailed instructions for the Facilities team.

Drag and drop files here

Select files to upload

Max. file size: 48.8MB