Facility Usage Request

  • The name of the organization requesting use of the facility
  • Date Format: MM slash DD slash YYYY
    If reoccurring, please provide additional information in the note box below.
  • :
  • :
  • Provide additional information if applicable
  • Attachments Required:

  • Drop files here or
  • Drop files here or
    IRS letter denoting 501(c)(3) status
  • Drop files here or
    if the application is approved, documentation must be provided that lists Jubilee Academic Center as an Additional Insured on this policy