School District Of Philadelphia 440 North Broad Street - The School ...

School District of Philadelphia
Building Handbook
440 North Broad St. September 28, 2005
Date of need: _____________
Phone number: ____________
Contact Person: _____________________
Fax Number: ___________________
Department: ________________________ Room # preference: _________________
Begin time: _____ am – pm End time: _____ am – pm Number of attendants: ____
Setup Style: The room set-ups are predetermined, if you require a different setup,
we ask that you return the room to its original layout before leaving.
Tables and Chairs: Conference Style ____Classroom Style ____
Auditorium Style (Chairs only):
Special Requirements: *Food Set Up ____ Audio Visual Equipment ____
For AV questions and to reserve equipment , call 215-400-6334 or 6340.
* To be offered at a later date
___________________________________________________________________
If other than internal School District employees are attending, their names must be
given to Security for access.
Set Up Time needed: Yes: ___ No: ___ Time: ________ (M) (H)
Freight Elevator: Yes: ___ No: ___ Time: _______ am – pm
We agree to the Conference Room Regulations attached
Signed: _______________________________ Date: __________
Supervisor’s Approval
Email to CKelly@ElliottLewis.com
DO NOT WRITE BELOW THIS POINT
Approved: Yes: ___ No: ___ No Rooms Available: ___
Approved to use Room Number: _______ Date: ______ By: ___________________
Notified:
User: ________________
E-mailed Confirmation: Yes: ___ No: ___
School District of Philadelphia
Date of
Request:_________________
______
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