College Facility Rental Request Form Non-GCC organizations may use this form to initiate a request to use an existing campus facility. Contact Information Organization Address Address City/Town State/Province - Select - Alabama Alaska American Samoa Arizona Arkansas Armed Forces (Canada, Europe, Africa, or Middle East) Armed Forces Americas Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ZIP/Postal Code Contact Person Phone Email Event Location Campus: GCC Main Campus GCC North Campus Facility 1: Do you need to list an additional facility? - Select - Yes No Facility 2: Do you need to list an additional facility? - Select - Yes No Facility 3: Do you need to list an additional facility? - Select - Yes No Facility 4: Do you need to list an additional facility? - Select - Yes No Facility 5: Do you need to list an additional facility? - Select - Yes No Facility 6: Do you need to list an additional facility? - Select - Yes No Facility 7: Do you need to list an additional facility? - Select - Yes No Facility 8: Do you need to list an additional facility? - Select - Yes No Facility 9: Do you need to list an additional facility? - Select - Yes No Facility 10: Event Information Event Date Start Time End Time Desired Setup/Arrival Time Do you need additional dates/times? - Select - yes no 2nd Event Date 2nd Start Time 2nd End Time 2nd Desired Setup/Arrival Time 3rd Event Date 3rd Start Time 3rd End Time 3rd Desired Setup/Arrival Time 4th Event Date 4th Start Time 4th End Time 4th Desired Setup/Arrival Time Event Name Expected Headcount Will food be served? - Select - Yes No Will you require a special room layout? - Select - Yes No Requesting equipment? - Select - Yes No Equipment DVD/VHS player Blu-ray player Mic, wireless handheld Mic, wireless lapel Mic, table Mic, on lectern Lectern, no mic Laptop (Windows) Laptop (Mac) Data projector Other: DVD/VHS players: Blu-ray players: Wireless handheld mics: Wireless lapel mics: Table mics: Lectern mics: Lecterns: Laptops (Windows): Laptops (Mac): Data projectors: Other equipment: Comments CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.