Federal Programs Request for Venue (RFV)

Please complete the following application to be considered as a venue for professional development.


Date *
Establishment Name *
Title/Position of Venue Applicant *
First Name (Owner or Manager) *
Last Name (Owner or Manager) *
Address *
City *
State *
Zip Code *
Telephone *
Fax
Email *
Web Site
Alternative Contact Information *
Organization Requesting this Event (School/Department) *
Contact Information for this Organization (Representative) *
Description of event requested *
Name of Event *
Date of Event *
Number of Participants to be served *
Number of Rooms Requested *
Room Rental Costs and Contract Requirements
Description of Facility – Description of your facility including number of meeting rooms available and capacity of each.
Audio-Visual-Technological Needs VCR or DVD/Monitor
Overhead Projector/Screen
LCD Projector/Screen
Internet Access
Presenter Table
DVD Player/Monitor
Flipchart/Markers
CD/Tape Player
Microphone/PA System
Extension Cord
Easel
Technical Assistance/Support
Other
All other Audio-Visual components available on site. Please note any mulitple units available from previous question. (IE: 3 LCD Projectors are available)
Internet Access *
Audio-Visual-Technological Costs – Please note additional costs if applicable.
Parking availability – Description of where participants will park and capacity.
Directions to Facility – Brief directions that may be printed in brochure.
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