Activity/Facility Application

Campus *

Contact Name *

Contact Number *

Contact Email *

Permission is requested by the: *

(Name of Organization

to sponsor a *

Name or Type of Activity

Facility Requested (Poplarville):

Alexander Administration Building

Band Hall

Band Practice Field

Baptist Student Union

Baseball Facilities

Campus Police

Choral Music

Crosby Hall

Development Foundation/Alumni House

Dr. William Lewis Honors Institute (White Hall)

Ethel Holden Brownstone Center

Football Field House

Forrest Hall (Female Dormitory)

Garvin H. Johnston Library

Great Hall

Hancock Hall (Male Dormitory)

Holden Hall (Female Dormitory)

Huff Hall (Male Dormitory)

Information Technology

Intramural Recreational Area

Jeff Davis Hall

Lamar Hall (Male Dormitory)

Malone Chapel

Marion Hall (Male Dormitory)

Marvin R. White Coliseum

Moody Hall

Moody Hall (Female Dormitory)

New Men's Dorm (A)

New Women's Dorm (B)

Nursing Building

Olivia Bender Cafeteria and West Dining Room

Pearl River Hall (Male Dormitory)

Physical Plant

PRCC Museum

Public Relations

Science Building

Seal Hall

Shivers Gym

Soccer Facilities

Softball Facilities

The Station (Food Pantry and Career Closet)

Technology Center

Tennis Facilities

Transportation Shop

Warehouse

Other

Facility Requested (FCC)

Room Number

Activity Date(s) *

Start Time *

End Time *

Practice Date(s)

Practice Start Time

Practice End Time

Special Equipment/Comments

Use this box to describe any special equipment needs, parking space reservations, description of room set-up, or comments.If special equipment is needed, a work order form must be submitted to the Physical Plant by the activity sponsor.

Is this a campus-wide activity that should be placed on the Master Calendar? *

If transportation is needed, please complete an Authorization for Travel form.

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