Carol Stream Public Library

APPLICATION FOR USE OF THE MEETING ROOM

Name of Organization: ____________________________________________________

Nature of Meeting: _______________________________________________________

Date of Meeting: _____________________ Number Expected to Attend: ___________
Confirmed only upon receipt of signed application

Time Span of Meeting: From ___________________ To _____________________
Fee of $15 for each half hour, or fraction thereof, charged for meetings running beyond Library closing time.

What Time Will Preparation for Meeting Begin: __________________________________
Meeting Room unavailable before Library opens.

Person to be Contacted about Meeting: ________________________________________

Address: _________________________________________________________________

Home Phone: ________________________________Work Phone: __________________

ROOM ARRANGEMENT

Standard room set-up is 40 chairs arranged in rows with a center aisle (auditorium style.)   Three tables are also set up in the room – one at the front, and two located on the inside wall.   If additional tables or chairs are required, please indicate the number needed:

Tables (30" X 90") ___________ Tables (36" X 50") ___________ Chairs ___________

FURNISHINGS AND EQUIPMENT NEEDED

Please indicate furnishings and equipment needed by circling the item(s) listed below.
Please note the fees charged if reservations are not made in advance.

Fees

  • Projection Equipment, including screen and 6mm, Filmstrip, Overhead, and Slide Projectors                           $10.00
  • VCR and Monitor                                $10.00
  • Portable Multimedia Projector              $50.00 Deposit Required
  • Chalkboards (Mounted or Portable)      $ 5.00
  • Public Address System                       $10.00
  • Folding Table                                      $ 5.00 each
  • Piano                                                 $10.00
  • Coffee Pot                                          $ 5.00
    •

Is instruction in the use of projection equipment necessary? Yes ________ No ________
Library Staff will provide instruction at a pre-arranged time but will not be present to operate equipment for meetings and programs.

 

 

RESPONSIBILITY STATEMENT FOR USE OF MEETING ROOM

I have read the Statement of Policy with regard to use of the meeting room, and our organization will adhere to all rules as stated:

I, _______________________________________, the duly authorized agent of
Name of person signing agreement

___________________________________________, (the "Organization"),
Name of Organization
and/or the individuals comprising the Organization (if not incorporated, the "Members") have read the Statement of Policy with regard to the Meeting Room, the terms of which are incorporated in this Agreement by reference, and represent and agree that the Organization and the Members will adhere to all rules as stated in the Statement of Policy.

The undersigned, the Organization and/or the Members agree to defend, indemnify, and hold harmless the Board of Library Trustees of the Village of Carol Stream, its agents, officers, and employees from all claims, suits, losses, damages, and expenses, including reasonable attorney’s fees, which arise from performance or failure to perform under terms of this Agreement, or from the use of Library premises or facilities by the Organization and/or Members, regardless of whether any such claim, suit, loss, damage, or expense is attributable to negligence or other wrong doing of the Organization and/or the Members.

_______________________________________________ Dated: ____________________
Name of Organization

By: ___________________________________
Signature

The ________________________________ of the Organization and a duly authorized agent for the Organization and Members.

Please submit application to:

Meeting Room Coordinator
Carol Stream Public Library, 616 Hiawatha Drive, Carol Stream, IL 60188

Received: ________ By: ____________
(Initials) Staff Member

Application
Approved: ________ Denied: ________

 

___________________________________ ________________________
(Signature) Meeting Room Coordinator                  Date

 

 

c2005 Carol Stream Public Library
Send comments to pleffler@cslibrary.org