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.

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

Name *

Email *

Phone *

Billing Address *

City/State/Zip *

Today's Date *

Rental Type * PersonalOrganization

If organization, include name:

Date of Function *

Time of Function *

Purpose for Request *

# of People Expected *

Building Requested

Specific Needs
GTD AuditoriumKitchenPhoneProjector/ScreenTV/DVDCEU'sOther
If Other, please supply:

Electronic Signature *
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 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.

Mon-Friday
$125.00

Friday evening-Sunday
$250.00

 
Make all checks payable to: Fort Peck Community College

Spam Prevention

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Download the Form

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

Debra Granbois (dgranbois@fpcc.edu), Poplar (406) 768-6300 or
Ember Runs Through (erunsthrough@fpcc.edu), Wolf Point (406) 653-3900

Facility Use Form