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Home
Classroom A/B Checklist
Classroom A/B Checklist
Classroom A/B Checklist
Applicant Name
*
First
Last
Employee Name
*
Select one
Jennifer Smith
Darcee Bloom
Andrew Byrd
Chris Fajemisin
Iyana Phillips
Sandra Fugarino
Marie Brantley
Telephone Phone
*
Renting Date
*
MM slash DD slash YYYY
Renting Time
*
:
Hours
Minutes
AM
PM
AM/PM
Occasion/Reason for renting
*
Was an alcohol permit secured for rental?
*
Yes
No
Room Inspection
*Acceptable Condition is deemed by the facilities manager and is subject to change.
Floors in *Acceptable Condition: No deep scratches and/or un-removable markings.
*
Yes
No
Please give a brief description.
*
Please take a picture of the damage.
*
Accepted file types: jpg, jpeg, png, gif.
Walls in *Acceptable Condition: No deep scratches and/or un-removable markings.
*
Yes
No
Please give a brief description.
*
Please take a picture of the damage.
*
Accepted file types: jpg, jpeg, png, gif.
Please take a picture of the damage.
*
Accepted file types: jpg, jpeg, png, gif.
Projectors in Working Order.
*
Yes
No
Please give a brief description.
*
Please take a picture of the damage.
Accepted file types: jpg, jpeg, png, gif.
Projector Wall-Mounted Control Panels in *Acceptable Condition: No permanent markings or damage to the control panels.
*
Yes
No
Please give a brief description.
*
Please take a picture of the damage.
*
Accepted file types: jpg, jpeg, png, gif.
Coffee maker clean and in working order.
*
Yes
No
Please give a brief description.
*
Please take a picture of the damage.
Accepted file types: jpg, jpeg, png, gif.
All garbage is disposed of properly according to the renter's agreement.
*
Yes
No
Please give a brief description.
*
Please take a picture of the trash if it is significant.
Accepted file types: jpg, jpeg, png, gif.
Is all city provided equipment returned to the recreation department?
*
Yes
No
Please list any city provided equipment that was used.
*
Is the room temperature correct?
*
Yes
No
What was the initial temperature?
*
Please enter a number from
64
to
77
.
What is the new room temperature?
*
Please enter a number from
64
to
77
.
Applicant Signature
*
Employee Signature
*
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