APPLICATION FOR USE OF SCHOOL FACILITIES by rMQDu4g

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									                       Application for Approval of Public, District or Student
                                      Use of School Facilities
                                    Mt. San Jacinto Community College District


Please Type or Print
REQUESTED BY:                                                             DATE SUBMITTED:

ORGANIZATION TYPE: MSJC__ Non Profit___ Recreation__ Private__ Religious__                       Political__
                      Youth__ Other______________ (please specify)

ORGANIZATION/DEPARTMENT:

EMAIL:__________________________________

CONTACT NUMBER:                                                      FAX NO:
                           AREA CODE        NUMBER                                AREA CODE      NUMBER


MAILING ADDRESS:
                           STREET ADDRESS            CITY                 STATE                  ZIP CODE


DATE(S) OF USE:
TIME:       FROM:                           am pm
            UNTIL:                          am pm

EVENT LOCATION: SAN JACINTO                          MENIFEE         TEMECULA EDUCATION COMPLEX

FACILITY/ROOM(S) REQUESTED:

DESCRIPTION OF ACTIVITY:


WILL RESTROOMS BE NEEDED? YES___                       NO____

IS ACTIVITY OPEN TO THE PUBLIC? YES___                      NO____        ATTENDANCE EXPECTED________

SPECIAL EQUIPMENT OR SET-UP REQUESTS:


WILL ADMISSION BE CHARGED/OR DONATIONS REQUESTED FOR EVENT:                              YES__     NO__

  The undersigned hereby agrees to abide by the procedures and regulations of the college
  printed on the reverse side of this form relating to the use of school facilities.

PRINT NAME:                                                  SIGNATURE:

TITLE:                                                               DATE:


  PLEASE NOTE: Total Fees Due and Certificate of Insurance must be received at least five working
                                days prior to use of facilities.

FOR ANY QUESTIONS OR CONCERNS PLEASE CONTACT THE FACILITIES DEPARTMENT AT 951-487-3105
   PROCEDURES & REGULATIONS FOR USE OF SCHOOL FACILITIES
PROCEDURES
   Each organization wishing to use college facilities must submit a completed APPLICATION
   FOR USE OF SCHOOL FACILITIES form.
     1. An authorized administrator of the organization must sign the application or such other
        representative as the organization may appoint. If the representative is other than an
        officer, s/he must have written authorization to sign for the organization.
     2. The application must be submitted to the Maintenance & Operations Office no less than 30
        days prior to the scheduled date.
     3. The officer or representative of the organization, by signing the application, affirms that he
        has received, read and understands the regulations stated below.
     4. Before the use of facilities takes place, a certificate of insurance for $1,000,000 combined
        single limit liability policy in which Mt San Jacinto Community College District is listed as
        insured, must be received at least five working days prior to use of district facilities. (not
        required for a MSJC sponsored event)
     5. The event will be cancelled if payment and/or insurance in not received 48 hours prior to
        event.

REGULATIONS
    1. The using organization is responsible for the conduct of each and all of its members while
        they are on the college premises. All college rules and regulations must be adhered to.
    2. College officials have the right to terminate a contract immediately and without notice
        upon its discovery of a violation of any term, condition or provision of this policy.
    3. The using organization is required to furnish such supervision and law officers as the
        college administration determines is necessary for the protection of individuals, property
        and to the enforcement of these regulations.
    4. Use of school facilities is not to interfere in any manner with the normal activities of the
        college.
    5. Parking is restricted to the following parking lots: San Jacinto Campus lots D, B & C and
        the Menifee Campus lots A, B, C & D, at the cost of $1.00 per day, per vehicle. No
        vehicles are to enter upon or drive on any part of the campus without expressed written
        permission of the college district.
    6. Smoking is allowed only in designated areas.
    7. No alcoholic beverage may be brought onto or consumed upon the college campus.
    8. Participants are restricted to such facilities, as permission for use has been granted,
        including restrooms.
    9. Participants are required to conform to any requests or directions given by district Security
        Guard, Custodian, Grounds Keeper or Technician in charge, regarding the use and proper
        care of all district property.
    10. The college must approve any decorations, props, equipment or other devices brought onto
        the premises. A fire retardant certificate may be required for decorations. No decorations
        may be attached to buildings or equipment without prior approval and supervision of a
        district representative.
    11. The using organization is responsible for the removal and proper disposal of all
        decorations, props, equipment or other devices used in connection with an event
        immediately after the event. A minimum fee of $100 or the actual clean-up cost will be
        charged to the organization.
    12. Using organizations are responsible for return of facilities to the same conditions as they
        were at the time of entry except for normal sweeping and final disposal of trash.
    13. All food service and use of the student center cafeteria shall be arranged with the Director
        of Food Services.
                     14. The user organization is responsible for and shall be liable for any damage to college
                         equipment including repairs or replacement occasioned or made necessary by the
                         negligence of or misuse of the organization.
                     15. No activity shall be conducted which constitutes a violation of any federal, state, or local
                         law.


CHARGES:
FACILITY/ROOM:
# OF DAYS/hours:                          @     ___ PER DAY/hour = $
AV TECH:                                  @              PER HOUR = $
CUSTODIAL:                                @              PER HOUR = $
GROUNDS KEEPER:                           @              PER HOUR = $
Other Charges:                                                          $________________
TOTAL DUE:                                                              $




                                              FOR OFFICE USE ONLY

APPROVAL OF MAINTENANCE OPERATIONS:                                                            DATE:


APPROVAL OF OFFICE OF INSTRUCTION:                                                             DATE:


APPROVAL OF VICE PRESIDENT, BUSINESS SERVICES:                                                 DATE:



Distribution list:
Instruction
Police Department
Public Information
Maintenance




                                    SCHEDULE OF FEES FOR USE OF FACILITIES
                                       Mt San Jacinto Community College District
                                                  1499 N. State Street
                                                San Jacinto, CA 92583
                                                       (951) 487-3105

       Type of Facility                                          Non Profit                             Commercial
       Classroom—Seating up to 40                                $15.00 per hour                        $20.00 per hour

       Classroom—Seating over 45                                 $20.00 per hour                        $25.00 per hour

       Computer Classroom—Max Seating 30                         $20.00 per hour                        $25.00 per hour

       Cafeteria/Dining Room                                     $40.00 per hour                        $50.00 per hour

       Theatre—Seating up to 300                                 $50.00 per hour                        $75.00 per hour

       Shower/Locker Room—Per side                               $70.00 per day                         $80.00 per day

       Conference Room—Max Seating 30                            $10.00 per hour                        $15.00 per hour

       Conference Room—Seating over 45                           $15.00 per hour                        $20.00 per hour

       Gymnasium—Max Seating 776                                 $40.00 per hour                        $50.00 per hour
                                                                 $325.00 per day                        $375.00 per day

       Football Field/Track                                      $50.00 per hour                        $75.00 per hour
                                                                 $430.00 per day                        $450.00 per day

       Soccer Field                                              $20.00 per hour                        $25.00 per hour
                                                                 $175.00 per day                        $200.00 per day

       Baseball Field                                            $35.00 per hour                        $40.00 per hour
                                                                 $275.00 per day                        $300.00 per day

       Tennis Courts (per court)                                 $15.00 per hour                        $20.00 per hour

       Parking Lot                                               $75.00 per hour                        $80.00 per hour

Additional charges (If required):
             Custodial fees                           $25.00 per hour
                        Custodian(s) are required to be present for all events
              Audio Visual Fees                       $30.00 per hour
                        An audiovisual technician is required to be present when sounds system or special lighting is required.
              Grounds Keeper                          $25.00 per hour
                        The District, depending upon the event, may require grounds keeper(s)
              Computer Technician                     $30.00 per hour
                        A computer technician is required to be present when computer equipment is required.


 For police services and pricing please submit a Police Department Event/Activity Request Form.
                   You will be notified for availability of services and actual cost.

								
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