2. This form must be filled out and signed by the host of the meeting, and received by the Facilities Department at least 1 week before the scheduled meeting. Use this form to request the Tower Building front door lock and unlock times for a scheduled meeting. A motion detector just inside the front door will be programmed to allow exiting up to 1 hour after the door lock time. This will allow exiting from the building for 1 hour after it is locked.
4. At the close of the meeting, the host is responsible for: 1. Locking the meeting room door. 2. Making sure everyone has exited the building (Please print legibly)
6. Date of Meeting
8. Name of Person Hosting the Meeting
10. Host's Daytime Phone Number
11. Host's Cell Phone Number
13. Name of Event or Meeting
15. Meeting is Being Held in Room
17. Meeting Start Time
18. Meeting End Time
20. Front Door Unlock Time
    (A time to allow entry before the meeting starts.)
22. A motion detector for exiting will be set for 1 hour after the meeting end time.
    This will allow exiting from the building even though the building is locked.
24. Lock Time
    (lock time can be earlier than the meeting end time.)
26. Host's Signature
28. Host's Printed Name
29. Date
31. Form Date February 25, 2013
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field