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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