Facility Request Form -Visitors <br /> (Non-Archdiocesan & <br /> Non-Sponsored Groups)

Title of Event REQUIRED Please fill out this field. Please enter valid data.

Purpose of Theme or Event REQUIRED Please fill out this field. Please enter valid data.

Function Date(s)

Ideal Date REQUIRED Please fill out this field. Please enter valid data.

Alternate Date 1 REQUIRED Please fill out this field. Please enter valid data.

Dates

Organization Name REQUIRED Please fill out this field. Please enter valid data.

Supervisor of Event REQUIRED Please fill out this field. Please enter valid data.

Email: REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Organization Street Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Billing address Please enter valid data.

Estimated Attendance REQUIRED Please fill out this field. Please enter valid data.

Age Group REQUIRED Please fill out this field. Please enter valid data.

Total number of Chaperones (Ratio: 1:8/Virtus training or equivalent training is required for all chaperones/please submit copies of your certificates to the Events Coordinator/must be over the age of 21) Please enter valid data.

Is this Event Co-Sponsored REQUIRED Yes No Maybe Please fill out this field.

If Yes, by Whom? Please enter valid data.

Do you intend to issue a press release? If yes or maybe, please submit copies of all press releases and flyers to the Events Coordinator prior to advertising for your event. REQUIRED Yes No Maybe Please fill out this field.

What Means to Advertise the Event?

Check all that apply

Newspapers Social Media Websites Direct Mailing Church Bulletins Other

Program is open to: REQUIRED Please fill out this field.

Do you wish for your event to be advertised on the seminary's website? Please enter valid data.

Set Up Time: (Earliest 8:00 AM) REQUIRED Please fill out this field. Please enter valid data.

Doors Open: REQUIRED Please fill out this field. Please enter valid data.

Event Start Time: (Earliest 8:30 AM) REQUIRED Please fill out this field. Please enter valid data.

Event End Time: (Latest 9:00 PM) REQUIRED Please fill out this field. Please enter valid data.

Doors Close: REQUIRED Please fill out this field. Please enter valid data.

Break-down Time: (Latest 9:30 PM) REQUIRED Please fill out this field. Please enter valid data.

Microphone(s):
*Please specify the total number of microphone(s) needed per location(s)

Wireless Lavalier: Please enter valid data.

Handheld: Please enter valid data.

Microphone at Podium: Please enter valid data.

Requested Location for Microphone(s): Please enter valid data.

Does the power-point presentation require sound? Please enter valid data.

Total Number of Tables/Chairs (if needed) - Please Specify Location(s):

FOR PRAYER HALL: Screen/ Power-point Projector (Epson EX3200- Fee: $60)

Comments or Special Request:

Hourly overtime pay scale range per ABM staff:

Time and a half (Saturdays/After regular hours of operation): $28.00-$30.00
Double Time (Holidays/ Sundays): $37.00-$40.00
Visitors may be responsible for set up/ clean up of activity area
Additional costs may be applied if ABM maintnance/custodial staff provide any services

We are pleased that you have come to celebrate Mass in out beautiful and historic chapel.

Please note:

CIC 932 §1. The eucharistic celebration is to be carried out in a sacred place unless in a particular case necessity requires otherwise.

The following information will be of use to you as you prepare for the celebration of Mass at Dunwoodie.

Number of non-concelebrating guests at Mass: Please enter valid data.

Number of Concelebrants: Please enter valid data.

Name of Celebrant: Please enter valid data.

Name of Deacon (if applicable): Please enter valid data.

Organist/Cantor (if applicable- see Liturgical Music Policy) Please enter valid data.

Liturgical day or feast being celebrated: Please enter valid data.

Music Policy

Dr. Jennifer Donelson is the Director of Sacred Music at St. Joseph's Seminary and is happy to assist you in planning music for the liturgy. All music services must be contracted with the DOSM directly. She can be contacted at jdonelson@dunwoodie.edu or by calling the seminary at (914) 968-6200 x 8212.

*We handle and prepare egg, milk, wheat, shellfish, fin fish, soy, peanut, tree nuts, and other potential allergens in the food production area of our facility. Please ask for management's assistance to help guide you in your dining selection.

Additional Requests/Special Needs (Allergies)

Please review, sign, and submit the insurance policy and Facility Usage/Indemnity Agreement.

I have read, understand, and agree to the terms, conditions, and all policies.

I Agree Please select this field.

Facility Request Form -Visitors (Non-Archdiocesan & Non-Sponsored Groups)

Facility Request Form -Visitors
(Non-Archdiocesan &
Non-Sponsored Groups)