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:

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 Normandale's campus food service the exclusive catering service for Normandale.

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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