ATC Facilities Use Request Form

Hidden
Campus:
Guidelines and Procedures for Non-College Use of Facilities

Use of TCC facilities for activities or events is subject to the provisions of TCC Policies and the following guidelines:
- Priority affiliated of users use for with all 5 TCC work days’ facilities is notice for or as college otherwise business. provided TCC by reserves mutual the agreement. prerogative to cancel any use by non-college
- Approved use is confined to the immediate proximity of the “Designated Location” only.
- Users are required to supervise all activities and adhere to all federal, state, and local laws in addition to TCC policies. Gambling, smoking, and consumption of alcoholic beverages, except in accordance with TCC Policy 1301, is prohibited.
- Non-college affiliated users will be charged space use fees and/or direct costs as stipulated in TCC Policies..
Procedures for requesting facilities use follow:
- Complete and submit this form to the campus provost for the desired campus location above or the Vice President for Workforce Solutions for space at the college’s Suffolk location.
- Requests must be received by no later than ten (10) working days prior to the scheduled event in order to be processed and considered for approval. Any request requiring resources (e.g., audiovisual services) must be received at least 30 days in advance. Modifications to the VCCS Facilities Use Agreement may require 30 days for legal review/approval.
- Once approved, all non-college affiliated users will be required to complete the standard VCCS Facilities Use Agreement.
- All non-college affiliated users, except other state agencies and local government entities, must provide a Certificate of Insurance as delineated in the VCCS Facilities Use Agreement.
- All user fees must be paid in full. Reservations will not be confirmed until all fees are paid. The college reserves the prerogative to assess fees to cover additional services requested but not outlined herein.
- An approved copy of this form, the Facilities User Agreement, and reciept for payment of the fees must be presented upon request at the event location.
Applicant Information
Organization:*
Applicant Status:*
*TCC reserves the prerogative to require proof of non-profit status.
Name:*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone:*
Email:*
Event Information
Hidden
Desired Event/Activity Area
Desired Event/Activity Area*
Description of Events/Activities*
Date of Event:
MM slash DD slash YYYY
Time Event Starts:*

: Hours

Minutes

AM/PM
Time Event Ends:*

: Hours

Minutes

AM/PM
Will pre-event setup be necessary?*
How much time before the event?
Will post-event break-down be necessary?*
How much time after the event?*
Does this event run for multiple days?*
Final date of the event:
MM slash DD slash YYYY
Number of Guests:*
Guests:
Will any products or services be sold at this event?*
If Yes, please specify:
Will any fees be charged to participants?*
If Yes, please specify:
Will food or refreshments be served?*
If yes, please specify:
Will alcoholic beverages be served?*
*Approval required per TCC Policy 1301 before event confirmation
Space and Setup Requirements
Furniture Requirements:*
- Chairs
- Tables
- Other*
*Please Specify:
Please describe desired setup and/or attach diagram:
Diagram File upload:
Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 20 MB.

Audio-Visual Requirements:

Microphone/PA System
Computer
Projection System
TCC WiFi Access
Other*

*Please Specify:

Terms and Conditions

The applicant agrees to:

Comply with all provisions of the Facilities Use Agreement, including the indemnification and insurance requirements.
Provide direct supervision of all activities and adhere to all federal, state, and local laws in addition to the relevant TCC policies.
Restrict the activities of the event to the authorized space and its immediate proximity.
Obtain college approval for any event promotional materials in advance of their use.
Comply with the instructions of the college’s officers and security staff.

Signature*

Date*

ATC Facilities Use Request Form

Guidelines and Procedures for Non-College Use of Facilities

Applicant Information

Event Information

Space and Setup Requirements

Terms and Conditions