ࡱ> UWT#` 0Cbjbj\.\. 9L>D>D ` ` ` 8  <d xxxxSlWWWWWW$h{]SS{xxjxxxX ႄ` j0+Z@4+++{{gR+++` `   ADRIAN COLLEGE FACILITY RESERVATION FORM Read the terms of usage document before completing the form. Complete this application and submit it to the Conference Office, Valade Hall, at least fourteen (14) days prior to the planned event. Direct all facility requests (classrooms, conference rooms, auditoriums and dining, etc.) to the Conference Office at 4381. One event date per form is preferred. Submit one form for each building requested. Todays Date:  FORMTEXT       Other Office Authorization:  FORMTEXT       Building:  FORMTEXT       Room(s):  FORMTEXT       Period of Facility Use: Day and Date of Event am pm Month Date Year Day of Week In Time  FORMDROPDOWN   FORMCHECKBOX   FORMCHECKBOX   FORMDROPDOWN   FORMTEXT       FILLIN \* MERGEFORMAT   FORMDROPDOWN   FORMDROPDOWN  Event Start Time  FORMDROPDOWN   FORMCHECKBOX   FORMCHECKBOX  EXIT Time  FORMDROPDOWN   FORMCHECKBOX   FORMCHECKBOX   FORMDROPDOWN   FORMTEXT        FORMDROPDOWN   FORMDROPDOWN  Expected Attendance:  FORMTEXT        FORMTEXT       Description of event / Purpose for use of facility Contact Person:  FORMTEXT       Sponsoring Organization:  FORMTEXT       Phone / Campus Extension:  FORMTEXT       x  FORMTEXT       E-Mail Address (to return copy of form to):  FORMTEXT       **REQUESTED ARRANGEMENTS: Audio/Visual:  FORMDROPDOWN  P.A. System:  FORMDROPDOWN  Lectern:  FORMDROPDOWN  Risers:  FORMDROPDOWN  Seating Style:  FORMDROPDOWN  Technician(s):  FORMDROPDOWN  Refreshments:  FORMDROPDOWN  Specify all needs/details and placement in room:  FORMTEXT )+7L  F H \ ַ֮yjaXJAh|J5OJQJjh|J5OJQJUhY5OJQJh65OJQJjh?5>*OJQJU)jh_-h[5>*OJQJUh_-h65>*OJQJ#jh_-h65>*OJQJUh65OJQJhhY5OJQJhOJQJhAm'h\YOJQJhAm'hYOJQJhY56CJOJQJ h6CJ hYCJ hY5*+  n  rr)$$d!%d$&d!'d$N!O$P!Q$a$gd+$x$d!%d$&d!'d$N!O$P!Q$a$gdY$a$gd6 $a$gd_- -DM gdY$-DM a$gd6$a$gdY C.C\ ^ l n    øxh]Ghh:h2hoOJQJ^J*jzh h[5OJQJU^Jh 5OJQJ^Jjh 5OJQJU^JhOJQJ^Jjh?5OJQJU^J*jh6h[5OJQJU^Jjh65OJQJU^Jh65OJQJ^Jh2hYOJQJ^Jh6hY5>*OJQJjh|J5OJQJU&jh|Jh,k5OJQJU 4 6 B l v ~ ɼٮ٤ٖtj\OjAh_-h 6OJQJ^Jh h OJQJ^Jh_-h66OJQJ^Jh OJQJ^JhAm'6OJQJ^JhAm'OJQJ^Jh2hl}OJQJ^Jh_-hl}6OJQJ^Jhe3OJQJ^Jh2h65OJQJ^Jh2hYOJQJ^Jh2hY5>*OJQJ^Jh6OJQJ^Jh2h6OJQJ^Jh2h65>*OJQJ^J Z BD}R*$d!%d$&d!'d$N!O$P!Q$^gdY)$$d!%d$&d!'d$N!O$P!Q$a$gd -dh$d!%d$&d!'d$N!O$P!Q$^gd2)$$d!%d$&d!'d$N!O$P!Q$a$gd6      4 6 8 > @ B ^ пۈzdVC$jh2hY5OJQJU^Jh2h$45OJQJ^J*jh?h[5OJQJU^Jh FhY5OJQJ^J$jh FhY5OJQJU^J-jh?h[5>*OJQJU^Jh 5>*OJQJ^J!jh 5>*OJQJU^Jh" 5OJQJ^Jh2hY5OJQJ^Jh25OJQJ^Jh65OJQJ^J^ ` b     0 ɾɳrgQrgrgAjh 5OJQJU^J*j@hAm'h-TR5OJQJU^JhAm'5OJQJ^JjhAm'5OJQJU^J*jhAm'h-TR5OJQJU^JhB5OJQJ^JjhB5OJQJU^Jh 5OJQJ^Jhe35OJQJ^Jh2hY5OJQJ^J$jh2hY5OJQJU^J*j<h?h[5OJQJU^J0 2 4 6 8 T V X Z v ~ ϹڬwiSw@2h FhY5OJQJ^J$jh FhY5OJQJU^J*jh?h[>*OJQJU^Jh_-h_->*OJQJ^J$jh_-h_->*OJQJU^Jh)l5OJQJ^Jh2hYOJQJ^JhAm'OJQJ^Jh6hYOJQJ^J*jhBhE5OJQJU^Jh 5OJQJ^Jjh 5OJQJU^J*jhBhE5OJQJU^J  *468Tɻ|ncUK:-h_-5>*OJQJ^J!jh_-5>*OJQJU^Jh)lOJQJ^Jh hY5OJQJ^JhAm'5OJQJ^Jh h65OJQJ^Jh65OJQJ^Jh25OJQJ^J*j h?h[5OJQJU^J$jh2hY5OJQJU^Jh2hY5OJQJ^Jh FhY5OJQJ^J$jh FhY5OJQJU^J*j h?h[5OJQJU^JTVXZ\xz|ɶ|ncXcH=hB5OJQJ^JjhB5OJQJU^Jhe35OJQJ^Jh 5OJQJ^Jh2h51'5OJQJ^J*j h?h[5OJQJU^J*jN h?h[5OJQJU^Jh2hY5OJQJ^J$jh2hY5OJQJU^Jh2hl}5OJQJ^J!jh_-5>*OJQJU^J-jv h?h[5>*OJQJU^J <>@BϿycyyMy@h6h OJQJ^J*jhBhE5OJQJU^J*j<hBhE5OJQJU^Jjh 5OJQJU^J)jhAm'5OJQJU^JmHnHu*jhAm'h-TR5OJQJU^JhAm'5OJQJ^JjhAm'5OJQJU^Jh 5OJQJ^JjhB5OJQJU^J*j6hBhE5OJQJU^JBDprɳמבueZDee6h2hY>*OJQJ^J*jh_-h[>*OJQJU^Jh_->*OJQJ^Jjh_->*OJQJU^Jh2h.#V>*OJQJ^Jh2h51'5OJQJ^Jh_-h_-OJQJ^J)jh?>*OJQJU^JmHnHu*j<h_-h[>*OJQJU^Jh_-h_->*OJQJ^J$jh_-h_->*OJQJU^Jh_-OJQJ^Jhl}5OJQJ^JHhj~ȻȓȅxjȻS*OJQJU^JmHnHu-jh_-h[5>*OJQJU^Jh2hl}5OJQJ^Jh2h WOJQJ^Jh_-hY>*OJQJ^J!jh?5>*OJQJU^J-j(h_-h[5>*OJQJU^Jh_-5>*OJQJ^J!jh_-5>*OJQJU^Jh_-5OJQJ^Jh2hYOJQJ^Jh2hYOJQJ^JhH|P4$$d!%d$&d!'d$-DM N!O$P!Q$a$gdl})$$d!%d$&d!'d$N!O$P!Q$a$gd_-)$$d!%d$&d!'d$N!O$P!Q$a$gdY&$d!%d$&d!'d$N!O$P!Q$gdY &(<>@JLRThjlvx«Ҕv_Q:-jh_-h[5>*OJQJU^Jh2hl}5OJQJ^J-jh_-h[5>*OJQJU^Jh_-5>*OJQJ^J!jh_-5>*OJQJU^J,jh?5>*OJQJU^JmHnHu-jh_-h[5>*OJQJU^Jh_-h_-5>*OJQJ^J'jh_-h_-5>*OJQJU^Jh_-5OJQJ^Jh2h_-5OJQJ^J)689GHIXYghituǺ{eO*jh?h[5OJQJU^J*jh?h[5OJQJU^J*jvh?h[5OJQJU^Jjh 5OJQJU^Jh 5OJQJ^Jh2hY5OJQJ^Jh2hYOJQJ^Jh_-hl}5OJQJ^J'jh_-h_-5>*OJQJU^J,jh?5>*OJQJU^JmHnHu()<o>0$ `dh$d%d&d'dNOPQa$gde!0$ `dh$d%d&d'dNOPQa$gdY/$ `x$d%d&d'dNOPQa$gd /$d%d&d'd-DM NOPQgdY45Ϲګχ|nXJϝh hY5OJQJ^J*jh?h[5OJQJU^Jh he!5OJQJ^Jh F5OJQJ^J*jh?h[5OJQJU^Jh2hY5OJQJ^Jh2hl}5OJQJ^J*jh?h[5OJQJU^Jh 5OJQJ^Jjh 5OJQJU^J*jDh?h[5OJQJU^J5689CD< < <<<<<<<<<2=l=>@@ AAAɲְ֋yync_[_R_IhY6OJQJhY5OJQJhe!hYhY5CJOJQJhY5CJOJQJh 5OJQJhY5OJQJhr%h F5OJQJ^J,jh?5>*OJQJU^JmHnHuU-j&hr%h[5>*OJQJU^Jhr%5>*OJQJ^J!jhr%5>*OJQJU^Jh)l5>*OJQJ^Jhr%5OJQJ^J      **Please attach Plant Service Request sheet with detailed arrangements that are required. Floor plans are helpful. I have read the Terms of Facility Usage policies document covering the on-campus use of facilities. I understand that the use of the facility requested must be in accordance with all Adrian College policies. ____________________________________ ________ ____________________________________ _________ Signature of Faculty/Staff Date Conference Office Authorization Date Acknowledging Arrangements for Event Notify Conferences as soon as possible of event cancellations. xc: Plant (2) Dining Hall (6) Safety Sponsoring Organization Hall Secretary ECC Conferences Distribution: Calendar: Computer:     <<<>>>@~~H6$ `$d !%d $&d !'d $-D M N !O $P !Q $a$gdY2$$d !%d $&d !'d $-D M N !O $P !Q $a$gdY/$d !%d $&d !'d $-D M N !O $P !Q $gdY$a$gdY$ `<<&d P a$gdY@@ AAABCCcUUA?$ `&d P a$gdY $ `<a$gdY/$d !%d $&d !'d $-D M N !O $P !Q $gdY/$d !%d $&d !'d $-D M N !O $P !Q $gdY>$ ` $d !%d $&d !'d $-D M N !O $P !Q $^` a$gdYAABBBBCCCCCC C"C&C(C.C0CȺhPajhPaUhYhY5>*OJQJhY5>*OJQJhY5OJQJhY5>*CJOJQJhY5CJOJQJhY5CJOJQJCCC C$C&C*C,C.C0C$ `&d P a$gdY 70&PP/R / =!"#$.% . DText64 MMMM d, yyyyvD2Text43vDText60vDText65Df Dropdown5 12:0012:30 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30 5:00 5:30 6:00 6:30 7:00 7:30 8:00 8:30 9:00 9:3010:0010:3011:0011:30tDeCheck1tDeCheck2D Dropdown6  JanuaryFebruary March April May June July August SeptemberOctoberNovemberDecembervDText73D Dropdown7  20052006200720082009201020112012D Dropdown8 MondayTuesday WednesdayThursdayFridaySaturdaySundayDf Dropdown5 12:0012:30 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30 5:00 5:30 6:00 6:30 7:00 7:30 8:00 8:30 9:00 9:3010:0010:3011:0011:30tDeCheck3tDeCheck5Df Dropdown5 12:0012:30 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30 5:00 5:30 6:00 6:30 7:00 7:30 8:00 8:30 9:00 9:3010:0010:3011:0011:30tDeCheck4tDeCheck6D Dropdown6  JanuaryFebruary March April May June July August SeptemberOctoberNovemberDecembervDText74D Dropdown7  20052006200720082009201020112012D Dropdown8 MondayTuesday WednesdayThursdayFridaySaturdaySundayvDText67vDdText10vD<Text68vDText72vDText70vDText71vDText69Df Dropdown9 YESNODf Dropdown9 YESNODf Dropdown9 YESNODf Dropdown9 YESNODf Dropdown10 ConferenceBanquet ClassroomTheatreU-ShapedOtherDf Dropdown9 YESNODf Dropdown9 YESNOvDText638@8 YNormal_HmH sH tH p@p Y Heading 17$$ ` -D@&M %^` a$ 5OJQJF@F Y Heading 3$$@&a$ 5OJQJDAD Default Paragraph FontRiR  Table Normal4 l4a (k(No List\C@\ YBody Text Indent$@ 1$^@ a$5OJQJh<B@< Y Body Text$a$OJQJDP@D Y Body Text 2$a$ 5OJQJRY"R ? Document Map-D M OJQJ^J L*+$Ca~&U)pqr+ ~  0000000000000000(00000000000000000000000I0h0I0h0h0h0h0@ \  ^ 0 TB5A0C $ <@C0C "#%.C  /;AMY_ %57CIJdfvx /4DFRXZjl|#?KQp|%5EQal|!' FFFFS G$G$S F'S S S$G$G$S$G$G$S$FS$S$FFFFFFFS S$S$S$S S$S$F8@0(  B S  ?Text64Text43Text60Text65 Dropdown5Check1Check2 Dropdown6 Dropdown7Text73 Dropdown8Check3Check5Check4Check6Text74Text67Text10Text68Text72Text70Text71Text69 Dropdown9 Dropdown10Text63/M&78x  G?p   B`6Jw0Y$R&( %%,%D%/%l%WW^ ]ee 9*urn:schemas-microsoft-com:office:smarttagsplace=*urn:schemas-microsoft-com:office:smarttags PlaceName X   33%6JefwxFY?Rp&(  @?l}? 6<XkY|? _=$#(C#51'Am'~+_-e3$=NFlIJ|J|-KKLfN4R-TR.#V W\YAXc,k0Ek)ltj{" r%FPa[J1& FFn'.o$4Bk[e!Ed2Y 6q@i T@1s@YiY11@ss| ssX" `@` ` ```$@`<UnknownG: Times New Roman5Symbol3& : ArialY CG TimesTimes New Roman9"CG Omega5& zaTahoma"1h+ʑF  $4d 2HX ?fN2WADRIAN COLLEGE Application is hereby made for use of College facilities as follows:Adrian Collegeadrian collegeOh+'0 $0<` x    XADRIAN COLLEGE Application is hereby made for use of College facilities as follows:Adrian Collegefacility_request_form.dotadrian college3Microsoft Office Word@Ik@$@7zG@dkq ՜.+,0L hp  ,Adrian College  XADRIAN COLLEGE Application is hereby made for use of College facilities as follows: Title  !"#$%&()*+,-./012346789:;<=>?@ABCEFGHIJKMNOPQRSVRoot Entry F킄XData '1Table5WordDocument9LSummaryInformation(DDocumentSummaryInformation8LCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q