Facility Request Form

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Normandale Community College

9700 France Avenue South

Bloomington, MN 55431

FACILITY REQUEST FORM

General Information.

Last Name:

First Name:

Middle Initial:

Address:

City:

State:

Zip Code:

Organization Name:

Daytime Phone:

Evening Phone:

Fax:

Email:

Event Information.

Event Title:

Type of Organization: Select One

Describe the program/activity that will be held in the desired facility:

Maximum number of expected attandance:

Desired Event Space (See Facility Rate Page):

Date(s) of Requested Reservation
(If more than one date, please separate by commas):

Scheduled Actual Start Time (Include AM/PM):

Set-Up Time (Include AM/PM):

Will vacate by (Time) (Include AM/PM):

Do you plan to serve food and/or beverages?

All events serving food and beverages will have to utilize Lancer Hospitality the exclusive catering service for Normandale. The event coordinator assigned to your event will assist you with these arrangements.

Please list any additional equipment that you will/may need for your event. If none, please indicate that.

Office Use Only.

Normandale Use Only

Date Application

Mail/Faxed

Normandale Use Only

Date Application

Received

Normandale Use Only

Contract

Mailed

Normandale Use Only

Date Contract

Returned

Normandale Use Only

Security Deposit

Collected

Normandale Use Only

Other

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