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Staff Meeting Room Application - Staff Use Only
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This form has been modified since it was saved. Please review all fields before submitting.
Submission Options & Room Usage Policies
Submission Options
This form may be submitted online or printed and submitted to the Norwalk Public Library:
1 Belden Ave.
Norwalk, CT 06850
Fx: (203) 857-4410
Before filing out a room application call the library at (203) 899-2780 ext. 15121 for room availability. Leave a message with your name, phone number, and the preferred date and time of the event. We will check the room availability and return your call as soon as possible.
South Norwalk Branch Room Bookings
Click here
Usage Rules & Regulations
Room Usage Policy
Please read the above Room Usage Policy prior to requesting a room. These policies cover meeting rooms and all other meeting space at the Main Library (1 Belden Avenue) and the South Norwalk Branch Library (10 Washington Street).
Room Details / Needs
Day room is needed:
*
-- Select One --
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Date room is needed:
*
Time of program:
*
Time needed for setup:
*
Time needed for cleanup:
*
Room / space requested:
*
-- Select One --
Main Library - Full Auditorium (175 capacity)
Main Library - 3/4 Auditorium (100-130 capacity)
Main Library - Carnegie Room
Main Library - Chess Room (40 max. capacity)
Main Library - Children's Activity Room (49 capacity - Children's programs only)
Main Library - Computer Lab (10 max. capacity)
Main Library - Conference Room (12-20 max. capacity)
Main Library - Curb
Main Library - Judy Room (10 max. capacity)
Main Library - Large Study Room (10 max. capacity)
Main Library - Outside patio
Main Library - Teen Room Lower Level
Title of event, purpose of meeting, or main speaker's name:
*
Staff Member Information
Name
*
Phone Ext.
Staff email address
*
Event / Program Details
Will you be charging admission?
-- Select One --
Yes
No
If yes, then how much will you charge?
Will you be selling products or services or soliciting customers?
-- Select One --
Yes
No
If yes, what will you selling / soliciting?
Program Description
How would you like the room arranged?
How many chairs will you need? And is there a specific way you would like them arranged?
*
How many tables will you need? And is there a specific way you would like them arranged?
*
Drink Service Needs / Equipment Needs
Will you be serving refreshments?
*
-- Select One --
Yes
No
If yes, what kinds?
Will you need refreshment tables?
*
-- Select One --
Yes
No
We have two Mr. Coffee machines and two 30-40-cup urns. Which of these will you need?
*
-- Select One --
None
One Mr. Coffee machine
Two Mr. Coffee machines
One 40-cup urn
Two 40-cup urns
One Mr. Coffee machine and one 40-cup urn
All four options (two Mr. Coffee machines and two 40-cup urns)
Library also has the following items available for use. Please check what you will need for your event:
Slide projector
Video projector (projects onto a screen)
Screen
Large easel with paper
Reversible chalk / marker board (4-by-6 feet)
Reversible marker / bulletin board ( 3 by 4 feet)
VCR / TV cart
Overhead projector
Microphone
Podium
Stage
Laptop (by special arrangement)
Computer projector (by special arrangement)
Other equipment you may need?
Form Completion & Submission Agreement
I agree to the Norwalk Public Library’s Meeting Room Policies and agree to pay room rental fees (if applicable) as well as charges for damages (if any) and overtime charges as agreed upon in advance.
-- Select One --
Yes - I agree to these terms
No - I don't agree to these terms
Date of application submitted (today's date):
*
Leave This Blank:
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Email address
This field is not part of the form submission.
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