Assigned To

Status

Facility Use Request Form

Please make requests a minimum of 2 weeks before space is needed. Requests are processed in the order they are received. You will be contacted with a confirmation, and/or to complete any additional contracts or paperwork once the request is processed.

I am

Ready to reserve (please book if available) Checking Options (just looking – please do not reserve)

Name of Organization requesting space*

Organization Type*

For Profit Non-Profit (official 501c3) Public, tax supported educational institution located within the Distrtict Public, tax supported state or local government agency 4 Year College Partner FVTC Employee FVTC Student Club

Other:

Contact Name*

First Name

Last Name

Job Title

Contact Email*

Confirm Contact Email *

Contact Phone*

(e.g. 555-555-5555)

Organization Address *

Address Line 1

Address Line 2

City

State

ZIP Code

FVTC Facility requested*

DJ Bordini Center/Business & Industry Services Appleton Campus - Room or outdoor space Appleton Campus - Community Use Table in commons Appleton Campus – On-Campus Employer Recruitment Table in commons Appleton Campus – 4 Year College Partner Table in commons Oshkosh Riverside Campus Public Safety Training Center Waupaca Regional Center

Other:

Location Information

Purpose of your request*

Meeting Event Training

Meeting, Event, or Training Name*

Does this request have more than one occurrence?*

Yes No

How does it repeat?*

Date(s) requested*

Please include exact dates MM/DD/YY

Date*

Event Start Time*

(e.g. 11:30)

AM PM

Event End Time*

(e.g. 2:30)

AM PM

Community Use, Employer Recruitment, and 4 Year College Partner Table events run 11:00 AM - 1:00 PM.

Pre-event set-up time needed*

None 30 Minutes 1 Hour

Other:

Post-event takedown time needed*

None 30 Minutes 1 Hour

Other:

Expected attendance/# of seats needed*

Type of space requested*

Classroom (36 people or less) Conference room - small (16 people or less) Large meeting/event space (50 – 200 people) Commons Computer lab Athletic field Trails Parking lot Uncertain

How many classrooms do you need?*

How many conference rooms do you need?*

How many computer labs do you need?*

How many parking lots do you need?*

Room layout requested

Classroom Breakout Theater Square/Rectangle U-shape

Other:

Large rooms set-up by FVTC, classrooms set-up by guests

	Classroom - Rows of tables & chairs
	Breakout - Small groups of tables with 4, 6 or 8 chairs around outside
	Theater - Rows of chairs only (no tables)
	Square/Rectangle - Tables in square/rectangle with chairs around outside
	U-Shape - Square with an open end

Hospitality, Food Service or Catering needed

Breakfast Lunch Dinner Breaks Uncertain

No carry ins please. See all hospitality and catering options and policies at https://www.fvtc.edu/community-alumni/community-visitors/dining-on-campus.

Is A/V support needed?

Microphone Polycom/Conference Phone

Other:

All classrooms and conference rooms are equipped with computers, projectors, and speakers

Other resources needed?

Registration Table Stage Podium

Other:

Registration Table Quantity*

Stage Quantity*

Podium Quantity*

Do you need an FVTC trainer?

Yes No

Other notes related to request

How did you hear about us?

Fox Valley Technical College
1825 N. Bluemound Drive | PO Box 2277
Appleton, WI 54912-2277
Main Campus: 920-735-5600
D.J. Bordini Center: 920-735-2525
Connect with FVTC: www.fvtc.edu/connect-with-us