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Facility Request Form-Spoon River College Macomb Outreach Center
This form is required for anyone interested in using the Spoon River College Macomb Community Outreach Center. Space at the Center is not offically reserved until a contract is returned to you for signature.
The facility is located at 2500 East Jackson Street in Macomb, IL.
Contact Information
Today's Date
*
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Organization Hosting Event
First Name
*
Last Name
*
Address Line
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
Phone
*
Email Address
*
Event Information
Event Date
*
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Title of Event (This will be listed on room signage)
*
Purpose of Event (Meeting, Fundraising, Training, etc.)
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Event Start Time
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5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
Event End Time
*
5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
Arrival Setup Time
*
5 AM
6 AM
7 AM
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
9 PM
10 PM
Depart Time
*
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
Comments
Participant Information
Number of Attendees
*
Will your participants be charged a fee?
Yes
No
Maybe
Comments
Rooms Requested
What Room(s) are you requesting?
Conference Hall Room A
Conference Hall Room B
Conference Hall Room C
Classroom 109
Classroom 111
Classroom 113
Computer Lab
Kitchen Access
What is your preferred Seating Style?
*
Classroom Style (Facing Forward with Rectangle Tables)
U-Shape Seating (Rectangle Tables in a U Shape)
Theater (chairs only)
Banquet-Conference Hall Rooms Only (Round Tables)
Not Sure Yet
Comments
Food Service Needs
Please follow Health Department guidelines when serving food at events open to the public.
Do you plan to have a caterer or bring items to serve?
Yes
No
Maybe
Do you need tables for a buffet?
Yes
No
Maybe
If using a Caterer...Who?
AV/Technology Needs
All rooms are equipped with LCD projector, computer station, internet, sound system, VHS/DVD player, lectern, white board (classrooms only), and a large pull down screen. This is included with room fees.
Please select all items that apply to your event
*
I plan to utilize SRC's Computer Station
I plan to bring my own Laptop and understand it must be VGA compatible.
LCD Projector
Surround Sound
Internet
DVD Player
Microphones (Conference Hall Only)
AV/Technology Comments
Other Needs
Do you need display tables inside your room? If so...how many?
Do you need a registration/check-in table?
Yes
No
Please list additional information, requests or concerns here
If you have questions please contact Velvet Powell. 309-833-6033, velvet.powell@src.edu
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