CCC Resource Request Form
Please use this form for requesting rooms or resources for CCC events and activities.
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Contact Information
Please enter the name of the person responsible for the event. Please include a the phone number and e-mail address at which interested people may contact you
(or the person responsible for the event/item).
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Name *
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Prefix
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First *
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Last *
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Suffix
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Email *
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Phone *
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Title of the Event *
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Event Schedule
Please make your event schedule request here.
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If this is a single event, indicate the Requested Meeting Date
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MM
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DD
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YYYY
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Requested START TIME of Meeting
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Please indicate the START TIME on the date you indicated above. (If setup, cleanup ot other ancillary resources will be required, please indicate this/these in
the boxes provided below).
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Requested FINISH TIME of Meeting
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Please indicate the FINISH TIME of your meeting on the indicated date. ("Finish Time" means the time by which other events may be scheduled in the room. This
will seldom be more than two hours.If setup, cleanup ot other ancillary resources will be required, please indicate this/these in the boxes provided below).
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Recurring Events
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Please use this space to specify the exact days and dates you would like the room for the upcoming quarter.
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What CCC groups are involved in this event?
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Please select the main group responsible for this event; if there are additional groups, please specify them in the "Additional Resources Other" section of this
form.
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Space Request
Please make all of your room & resource requests here.
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Requested Room(s) *
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Please select the room(s) you are requesting and any ancillary rooms (e.g., kitchen) that you'll need.
To select more then one item, please use [CTRL] + Click.
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Other Required Resources:
Please check all that apply.
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We
will need set-up for our meeting
We will need to have tables moved for our meeting
We will need clean-up after our meeting that we'll be unable to provide.
We will need access to a kitchen for our meeting
We will need a computer projector for our meeting
We will need a projector for our meeting
We will need a screen for our meeting
We will need a TV/DVD player for our meeting
We will need a sign-up sheet on the Bulletin Board for our meeting (please see O&E Comm.)
We will need to have child care available during our meeting.
We will need the CCC Office to help in publicizing our event.
Other - please include in Other Information
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Additional Comments or Information
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Please use this space to make any clearifictions or explanations.
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Event Change Request
If you made a previous event request and need to change one or more of the arrangements, please enter the information below.
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Please indicate the previous Requested Meeting Date
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MM
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DD
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YYYY
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Please indicate the NEW Requested Meeting Date
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MM
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DD
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YYYY
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Previous Requested START TIME of Meeting
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Please indicate the START TIME on the date you indicated above. (If setup, cleanup ot other ancillary resources will be required, please indicate this/these in
the boxes provided below).
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NEW Requested START TIME of Meeting
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Please indicate the START TIME on the date you indicated above. (If setup, cleanup ot other ancillary resources will be required, please indicate this/these in
the boxes provided below).
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NEW Requested FINISH TIME of Meeting
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Please indicate the FINISH TIME of your meeting on the indicated date. ("Finish Time" means the time by which other events may be scheduled in the room. This
will seldom be more than two hours.If setup, cleanup ot other ancillary resources will be required, please indicate this/these in the boxes provided below).
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Previous Requested FINISH TIME of Meeting
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Please indicate the FINISH TIME of your meeting on the indicated date. ("Finish Time" means the time by which other events may be scheduled in the room. This
will seldom be more than two hours.If setup, cleanup ot other ancillary resources will be required, please indicate this/these in the boxes provided below).
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