Classroom A/B Checklist Classroom A/B Checklist Applicant Name* First Last Employee Name*Select oneJennifer SmithMatt ParentMatt PhillipsDarcee BloomAndy McquaggeSonya MuellerAndrew ByrdMisty MadrigalAlyssa WrightNumber of Guests*123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100Telephone Phone*Email* Renting Date* Date Format: MM slash DD slash YYYY Renting Time* : HH MM AM PM Occasion/Reason for renting*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.*YesNoPlease give a brief description.*Please take a picture of the damage.*Walls in *Acceptable Condition: No deep scratches and/or un-removable markings.*YesNoPlease give a brief description.*Please take a picture of the damage.*Tables and Chairs in *Acceptable Condition: No broken and/or damaged chairs or tables.*YesNoPlease give a brief description.*Please take a picture of the damage.*Projectors in Working Order.*YesNoPlease give a brief description.*Please take a picture of the damage.Projector Wall-Mounted Control Panels in *Acceptable Condition: No permeant markings or damage to the control panels.*YesNoPlease give a brief description.*Please take a picture of the damage.*Coffee maker clean and in working order.*YesNoPlease give a brief description.*Please take a picture of the damage.All garbage is disposed of properly according to the renter's agreement.*YesNoPlease give a brief description.*Please take a picture of the trash if it is significant.Is the room temperature correct?*YesNoWhat 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.Is all city provided equipment returned to the recreation department?* Yes No Applicant Signature*Employee Signature*Post Custom Field
