Facility Rental Request Form

Requester Contact Information

Full Name:*

Phone Number:*

Email Address:*

Licensee Signature Details

Licensee Full Name:*(for contract signature)

Licensee Email Address:*(for e-signature)

Event Details

Official Name of Event/Meeting:*

Sponsoring Organization Name & Full Address:*

Type of Organization:*(e.g., Non-profit, LLC, Government, Individual)

Description of Facility Use

Please describe how the facility will be used and the nature of your event:*

Is this a recurring event/meeting?*

Yes

No

If recurring, describe the frequency:(e.g., weekly, monthly)

Date & Time

Preferred Event Date(s):*

Alternate Date(s):*

Event Start Time:*

Event End Time:*

Set-Up Start Time:*

Set-Up End Time:*

Will you need additional setup days?*

Yes

No

If yes, list number of days and specific dates:

Will you need additional breakdown days?*

Yes

No

If yes, list number of days and specific dates:

Attendance & Space Requirements

Estimated number of your event staff: *

Estimated Number of Attendees:*

Requested Venue/Location (if known):*Preferred Room/Space Setup (e.g., banquet for 50, lecture-style for 100)

Technology & Amenities

Technology Plans:*(e.g., microphones, projector, sound system, live stream)

Will attendees require Wi-Fi?*

Yes

No

Catering & Alcohol

Will food be served?*

Yes

No

Will alcohol be served?*

Yes

No

Please be advised: alcohol service will require additional costs, permits and planning details

Budget & Additional Notes

Estimated Budget for Facility Rental:*

Other Notes or Special Requests:*

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Kingsborough Community College Events Management & Food Services

Facility Rental Request Form