Usage Forms | First Christian Church Johnson City

Building Usage Request

Building Usage

Name:*

Phone:*( ) -

Email:*

Name of Event:*

Event Start Date:*

Event Start Time:*

Event End Date*

Event End Time:*

Start Time of Preparation:*

Time of Tear Down:*

Time of day exterior door(s) need to be unlocked for public use:*

Rooms Requested:*

Exterior Areas to be Used:

Do you have a staff member helping with the event?

Yes

If so, who?

Are you using the FCC-JC facility as:*

An individual for personal use.

A parachurch/non-profit organization.

A business or corporation.

Brief description of event:*

Does this event reoccur?*

Yes

What kind of reoccurrence will it be?

Every Week

Every Other Week

Every Month

Other (Describe below)

Will your event have food?*

Yes

Quantity of rectangle tables:*

Quantity of round tables:*

Quantity of chairs:*

What kind of room set up would you like?

Fan Shape (tables set up to look like a fan)

Lecture Style (no tables; chairs set up all facing one direction)

Open Square (tables set up in a square with an open center)

Solid Square (tables set up side to side to form a square)

U - Shape (tables set up in a u - shape with chairs around the exterior)

Additional resources needed:

DVD

White Board/Markers

What will you use to display your presentation?*

No display needed

Will use personal computer for presentation

Will need to utilize a church computer for presentation if available

Will need to utilize another device (provide details in the next block)

Provide details on the type of connections/plugs you will use to connect to our TV or Video Projectors:

Do you need use of power outlets?*

Yes

Do you need use of the sound board by a trained FCC Production Team member?*

Yes

Do you need use of the projectors by a trained FCC Production Team member?*

Yes

Do you need lights (other than generic house lights) that will need to be operated by a trained Production Team member?*

Yes

Do you require any special set up or staging needs beyond traditional set up of the room?*

Yes

If yes, please describe.

Do you need any additional Production resources not listed?

Worship Center/CLC Tech:

I will need a trained Tech Team member to operate the soundboard, lights, and/or audio.

I am trained to operate the soundboard, lights, and/or audio.

I will not need to use the soundboard, lights, and/or audio.

*Please note that events in the Worship Center or CLC (including weddings, conferences, lectures, etc.) requiring sound, projection or lighting will require a trained FCC Production Team member to be present. Larger events may require two members. Reasonable fees and arrival time of FCC Production Team member will be determined by FCC Production Staff.

By typing your name in this field and submitting the form, you indicate that you have read and agree to all facility use policies and procedures and are responsible for ensuring the policies and procedures are carried out within your ministry/group:*

Additional Comments:

Please leave this field blank.

Vehicle Usage Request

Vehicle Usage Form

Name:*

Phone:*( ) -

Email:*

Address:*

Are you approved as a driver by the church office? (If you have not previously submitted a copy of your driver's license to Sharon Malone, our FCC-JC business manager, this must be done three weeks prior to using the vehicle for a driving record screen an*

Yes

List of drivers for this event (all drivers must be on the approved drivers list):*

Name of Event:*

Destination of Travel:*

Start Date (key pick up):*

Start Time (key pick up):*

End Date (key drop off):*

End Time (key drop off):*

Specific Vehicle(s) Requested:*

Van #2 (distance travel permitted)

Van #3 (distance travel permitted)

Dodge Van (Staff only)

Shuttle Bus

Return Options:*

Return vehicle(s) cleaned and full of gas

Return vehicle(s) cleaned but have maintenance fill with gas (cost of gas plus $10 charge to your ministry account)

Walk away- Maintenance will clean and gas vehicle(s) (cost of gas plus $20 charge to your ministry account)

Is this a recurring event?*

Yes

If this is a recurring event, please provide the details of the recurrence.

Comments:

I have read and agree to all the FCC-JC vehicle use policies and procedures*

Yes

No, please call me. I have questions.

By typing your name in this field and submitting the form, you indicate that you have read and agree to all vehicle use policies and procedures and are responsible for ensuring the policies and procedures are carried out within your ministry/group.*

Please leave this field blank.