Meeting Room Policy | Meeting Room Descriptions



Poplar Bluff Public Library Community Room Agreement

Meeting Date_________________________Beginning Time:_______________Ending Time:_________

Organization_________________________________________________________________________

Individual Reserving Room______________________________________________________________

This individual is also the responsible party

Public Phone:___________________________Alternate Phone:_________________________

Mailing Address:_____________________________________________________________________

Indicate below the purpose of this meeting. (Circle the appropriate response)
EDUCATION CULTURAL INFORMATION CIVIC BETTERMENT OTHER

 

Please complete the questionnaire below by circling YES or NO

These questions evaluate the applicants ability to meet the community room guidelines approved by the Library Board of Trustees.  The library director (or her designee) will need to approve each application. 

YES NO
1.
 Is this a not-for-profit organization?
a
YES NO
2.
 Will a product/service be advertised or promoted? 
a
YES NO
3.
 Will a product/service be sold?
a
YES NO
4.
 Is this a fund raising event?
a
YES NO
5.
 Will the meeting time require the library staff to unlock door before the library opens?
a
YES NO
6.
 Is the Library open on the meeting date requested?
a
YES NO
7.
 NO SMOKING is allowed in the library or around entrances.  Is this a problem for this organization?
a
YES NO
8.
 Will your group provide the library with a name and phone number that can be  released to the public for additional information and questions about the meeting?
a
YES NO
9.
 Will your group limit or exclude any religion, ethnic origin, age group, or gender from this meeting?
a
YES NO
10.
 All tables and/or chairs must be returned to their original location before the group leaves the building.  Is this a problem for your organization?
a
YES NO
11.
 Will the kitchenette be used?
a
YES NO
12.
 Will a beverage or snack be provided at the meeting?
a
YES NO
13.
 Will you be responsible to clean/restore the room?
a
YES NO
14.
 Do you agree to supply any materials and or equipment  needed for this meeting? (The library provides the use of library tables and chairs.)
a
YES NO
15.
 Is the general public invited to attend?
a
YES NO
16.
 Will a notice of this meeting be posted in the newspaper?
a
YES NO
17.
 All materials, equipment, and other items used for the meeting must be removed  immediately after the meeting.  Is this a problem for this organization?
a
YES NO
18.
 Do you agree to pay a $20.00 nonrefundable fee when  the room is reserved?
a
YES NO
19.
 If "OTHER" was circled to describe this event, please explain below.

  ________________________________________________________________

By signing this questionnaire; I agree to follow the guidelines and procedures for use of the Community Room in the Poplar Bluff Public Library. Note: Reservation is made after payment is received.


____________________________________________________ a____________________________
(Signature)       (Date)





____________________________________________________   ____________________________
Library Director's Approval   (Date)


Date Payment is received:_______________________________


Please Return Completed Forms to:
Poplar Bluff Public Library
318 North Main Street
Poplar Bluff, MO 63901

Or by FAX to:
573-785-6876

 

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