Application for Use of Facilities Breadcrumb Enrollment Management and Student Affairs University Center Application for Use of Facilities Main navigation Skip Sidebar Section Menu Enrollment Management and Student Affairs Skip Sidebar University Center Request Space Renting Space Offices In The UC Rooms UC Game Room Frequently Asked Questions History of the UC Contact Us & Directions Our Staff Note: This form is for non-UTC entities and private individuals. UTC Departments and Student Organizations should go use the Department and Student Organization Request. Prior to completing this form, please visit our "Rooms" page for room descriptions and pictures to ensure your requested rooms will meet your meeting or event needs. Also, please look over the our "Renting Space" section for fee information. Responsible Contact Information Contact Name First Last Contact Email Contact Phone Company/Organization Name Company/Organization Street Address Address Address 2 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 ZIP/Postal Code Company/Organization Status Non-profit entities will need to provide proof of current registered non-profit status. For-profit entity Non-profit entity Private individual Event Information Event Title Event Description Room(s) Requested I'm not sure which room I need. Auditorium (300) Chattanooga Room (Varies) Chickamauga Room (Varies, 48 Max) Fortwood Room (Conference Table, 24) Foundation Room (Conference Table, 22 + 3 addt'l)) Heritage Room (Conference Table, 20 + 6 addt'l)) Ocoee Room (Classroom, 30) Raccoon Mountain Room (Tiered Classroom, 120) Sequoyah Room (Conference Table, 20) Signal Mountain Room (Tiered Classroom, 80) Tennessee Room (Varies) Walden Ridge Room (Conference Table, 10) If you selected the Chattanooga Room, which section(s) will you need? The Chattanooga Room has 3 sections (A, B, & C) with Chattanooga C having the windows. Chattanooga A Chattanooga B Chattanooga C Please list a second room option if your first choice is not available. Day(s) and Date(s) Requested Day(s) and Date(s) Requested Day(s) and Date(s) Requested Day(s) and Date(s) Requested: Date Item weight Add more items more items Actual Event Start Time (Please Specify AM/PM) Actual Event End Time (Please Specify AM/PM) Do you need any reserved time before the event for your set-up? None 15 Minutes 30 Minutes 45 Minutes 60 Minutes More than 60 Minutes Do you need any reserved time after the event for your breakdown? None 15 Minutes 30 Minutes 45 Minutes 60 Minutes More than 60 Minutes Estimated Attendance Events with an estimated attendance of 100 or more will be required to provide a certificate of insurance. A UTC staff member will contact you with more information upon receiving your request. Who is your target audience? UTC Faculty, Staff, and Students UTC Alumni Non-UTC Community Members Attendees will include: UTC Faculty, Staff, and Students UTC Alumni Specific Invited Public Guests (Not General Public) Open to General Public If your event will have specific invited public guests or will be open to the general public, how many non-UTC community members are you expecting? Will your event bring anyone under the age of 18 years old on campus? No Yes. They will be accompanied by a parent/guardian. Yes. They will be in a group accompanied by a teacher/counselor. Yes. They will be dropped off and event staff will be responsible for them. Will money be exchanged for this event? On-site money exchanges (ticket, merchandise, book sales, etc.) may require UTC Police to be present for your event. All security costs will be the responsibility of the sponsoring group. No Yes - Tickets will be pre-sold only and there will be NO ticket or merchandise sales on site. Yes - There will be will admission and/or merchandise sales on site. Yes - There will be book sales on site. (Must Coordinate Through Campus Bookstore) Please check all applicable classifications. Meeting Conference or Workshop Entertainment Event Fundraising Solicitation Co-Sponsored* Speaker or Lecture* Other* If your answer to the previous question was Co-Sponsored, Speaker or Lecture, or Other, please provide additional information. (Name of speaker, topic of event, co-sponsoring organization, etc.) Requested University Services Requested University Services Food and/or Beverages Served? No Yes - refreshments Yes - buffet meal Yes - plated meal Yes - boxed lunch All food in the University Center must be catered through Mocs Catering. You can contact Mocs Catering at 423-425-4200. To avoid late fees, orders should be finalized at least 7 days prior to your event. I understand I must use Mocs Catering for my food and beverage needs. If you have requested either the Tennessee or Chattanooga Rooms, what type(s) of set-up will you need? Auditorium (Rows of Chairs) Banquet Crescent (Round Tables with No Backs to Front of Room) Classroom (Rows of Tables & Chairs) Fair/Expo Reception Empty Room Other… Please provide a set-up description What audio/visual needs are there for your event? None Computer, Screen and Projector Microphone If microphone(s) are needed, please indicate how many and what type. (Number, wireless or wired, lapel, etc) You must contact the UC Office at 423-425-4455 regarding specific set-up details at least one week prior to your event. I Understand Would you like to have a Media Tech staff your event? A Media Tech is a staff member who will work your event for the purpose of assisting with audio/visual needs (not including recording and streaming.) The cost for a Media Tech is $15.00/hr with a 2-hour minimum on weekdays and a 2-hour minimum on weekends. If you need a Media Tech for the duration of your event or only for the beginning of your event, they will be scheduled to staff your event at least 30 minutes before your Event Start Time. No, I do not need a Media Tech for my event. Yes, I would like a Media Tech to staff a portion of my event. Yes, I would like a Media Tech to staff the duration of my event. If you only need a Media Tech to staff a portion of your event, please provide the following time(s) here. ex. 3:30pm-5:30pm If you only need a Media Tech to staff a portion of your event, please provide the following time(s) here. If you only need a Media Tech to staff a portion of your event, please provide the following time(s) here. Item weight Add more items more items Additional Information During regular business hours Monday-Friday there is a fee for parking on campus. How would you like to handle this fee (if applicable)? Attendees will be responsible for paying for their parking. ($5.00 per car/day) The organizers will pay for attendee parking. ($4.00 per car/day) Not Applicable (Evening/Weekend Event) Would you like a wireless network account created for your event for attendees to access the wi-fi on campus? No, we will not need a wireless network account created for our event. Yes, please create a wireless network account for our event. Please provide any additional information or special requests for your event below. Facilities Use Terms and Conditions - Safety and Risk Management Statement In consideration for the permission of the University of Tennessee at Chattanooga to allow use of premises, the undersigned agrees to assume all responsibility and legal liability arising out and in the use of the aforementioned property. The undersigned further agrees to indemnify, save and hold harmless, the University of Tennessee at Chattanooga and its employees from any liability arising out of the use of this property. Further, the undersigned agrees to abide by all rules, standards or reasonable requests made by the University of Tennessee at Chattanooga relating to the use of the these facilities and to adhere to all safety/fire code/minors on campus requirements as set forth by the University and to instruct participants to adhere to the same. Depending on the type of liability exposure, I understand that I may be asked to provide proof of current liability insurance and a certificate of insurance evidencing the University of Tennessee at Chattanooga as listed additional insured. I understand and accept the safety and risk management statement. Facilities Use Terms and Conditions - Equal Opportunity Statement The University of Tennessee at Chattanooga is an equal employment/opportunity/affirmative action/Title VI/Title IX/Section 504/ADA/ADEA institution. I understand and accept the Equal Opportunity Statement. Facilities Use Terms and Conditions - Electronic Signature I have read and understand this agreement, and I am aware of the Facilities Use Terms and Conditions above. I acknowledge that all listed information is accurate, and I will let the appropriate department know if anything changes before this event. I understand that failure to meet any conditions of this agreement shall result in a cancellation at any time. I understand that this form is an application, and this event should not be promoted until confirmation is received. I will also be responsible for any billing services incurred. By electronically signing below, I am signifying that I have read and understand this agreement. Sign above Leave this field blank
