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PSTA Facility Resources

Classroom Facility Use Request Form

ORGANIZATION INFORMATION

Name of Organization *

Organization Email *

Organization Phone Number *

Organization Address *

COURSE INFORMATION

Course Name *

Number of People *

Date(s) *

Time(s) *

Audio Visual Request *

Computer
Projector

Special Requests

*The PSTA will make every attempt to accommodate your request/needs to use the facility. Facility Use Liability Form and Certificate of Insurance MUST be on file prior to approval by PSTA. Current scheduled classes will maintain scheduling priority over outside agency requests. The PSTA reserves the right to charge a Facility Use Fee.