Facility Use Form – Fort Peck Community College
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THE POWER OF CONNECTION, CULTURE & COMMUNITY

Facility Use Form

Facility Use Form

The College serves the people by initiating and supporting community activities and organizations based on the needs and wishes of community members, which promote the social education and well-being of the Fort Peck Indian community.

Complete the Form Online

* = Required fields.

    Name of Person or Group requesting use (responsible party, billing information); If a student organization the form must be signed by BOTH the faculty/staff advisor and the student group president and must be approved of prior to scheduling room use. Final approval is required by a Vice President before request is scheduled.

    Return completed form to Poplar Campus or Wolf Point Campus two (2) weeks prior to event.

    PersonalOrganization

    If organization, include name:


    Community RoomKitchenFoyerAuditoriumClassroom
    If Classroom, specify number:


    PhoneProjectorTV/DVDCEU'sOther
    If Other, please supply:


    By checking this box I affirm that all information submitted is true and correct. This serves as my electronic signature for this application.

    WARNING: Failure to clean up after your event, tampering with electrical systems to include building breaker boxes such as fire/smoke alarms, furnace pilot lights, and security systems could affect future use of college facilities.

    Disclaimer

    FPCC is not responsible for accidents, thefts, injuries or other criminal activity, which may occur during the proposed use of the facilities described on this form.

    PAYMENT MUST BE PAID IN FULL PRIOR TO USAGE OF ANY FPCC BUILDING. FPCC RESERVES THE RIGHT TO REFUSE OR DENY THE USE OF ANY FACILITY.

    Monday – Friday
    $125.00

    Friday Evening – Sunday
    $250.00

    Make all checks payable to: Fort Peck Community College

     

    Download the Form

    You may also download a form to print and fill out or forms may also be completed electronically and emailed to:

    Thomas Brown (TBrown@fpcc.edu), Poplar (406) 768-6300 or
    Ember Runs Through (ERunsthrough@fpcc.edu), Wolf Point (406) 653-3900

    Facility Use Form

     

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