Test Space Cases Form

A. All events occurring on campus outside of one’s own classroom or office must utilize this form.

B. The employee occupant(s) of the space(s) requested must be consulted for availability before completing this form.

C. Approved events will be confirmed in an email to the event coordinator/advisor and added to the added to the Blackbaud Calendar.

D. If anyone has questions they can reach out to Alyssa Palmer-Pasquarella at apalmer@mphschool.org.

Name (First, Last)(Required)

Contact Email(Required)

Contact Cell Phone Number(Required)

Name of Event(Required)

Date(s) of Event(Required)

Start Time of Event(Required)

End Time of Event(Required)

Anticipated Number of Participants(Required)

Space(s) Requesting for Event(Required)

Other Space Requested

Specific Classroom Details(Required)

Consulted Employees

Check this box to confirm you have consulted the employee(s) associated with the space(s) requested.

Are materials and equipment needed for the event?

Number of tables

Number of chairs

Number of desk with chairs

Microphone Needed

Speakers Needed

Podium Needed

Video Screen Needed

Projector Needed

Number of Large Garbage Cans

Sports Equipment Needed (access to equipment room is not permitted)

List specific equipment

Set-up needs to be completed by this time

Tear-Down can begin at this time

Submit diagram of space set-up

Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.

Please submit a diagram if available.

Request for Food at Event

NOTE: If any outside catering will be used instead of CuliArt, all food needs to be peanut and tree-nut free.

Which budget line will the cost of food come from?

Please provide details for catering request

Please include any other comments or requests you may have for this event