Reservation Request Form

Be sure to review the Longhouse Reservation Information and Guidelines prior to submitting this form.

Before submitting the form at the bottom of this page, please check the calendar below to see if the Longhouse is reserved for the date and time you are wanting to request.

Please allow us a week to process your application.

Questions? Email longhouse@lanecc.edu

Please provide all of the following information for your request:

Name of Event:

Estimated Event Attendance:

Date of Event:

Time of Event - Indicate Start and End Time of Event:

Additional dates and times:

Set up time/duration needed:

Take down time/duration needed:

Requester Name:

Requester Email:

Requester Phone:

Do you have or does the group you represent have any current or past affiliation with Lane Community College?

If so, which department?

Give a brief description of event:

Please include an explanation of how this event may benefit Native American Students, community or share Native American philosophy/worldview:

What room would you like to reserve?:

Conference Room, Great Room, Frank Merrill Veterans Memorial Garden

Will you be using the fire pit?

Will you need to use the fryers?

Will you have audiovisual needs?

If yes, please explain:

Acknowledgement and Agreement:

By checking the box below, the individual or group representative agrees that they have read the Longhouse Reservation Information, Usage and Guidelines, reviewed the Public Safety website, and will be the individual responsible for seeing to it that he/she or the group they represent adheres to these guidelines. Failure to follow the usage guidelines may jeopardize the individual or group’s future requests to use the Longhouse at the Lane Community College main campus.

We will contact you by email as to the action taken on you request via the contact information you have provided within approximately one week. If we need further information we will contact you.

If your request is denied or you would like assistance filling out the request form you may schedule an appointment with the Lane Community College Longhouse steward for clarification or assistance. Please call Carl Yeh (541) 463-5787 to schedule such an appointment (please leave a message clearly identifying yourself or your group if you do not get an immediate response to your phone call.)

I have read the Longhouse Reservation Information, Usage and Guidelines and will be the individual responsible for seeing to it that he/she or the group they represent adheres to these guidelines.

Yes

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Reservation Request Form

Reservation Request Form