Information Table Request

Information Table Request
Please use this form if you would like to request an information table at one of CCC's campuses.
- Information tables include two six-foot tables and two chairs placed in the commons area of the campus indicated.
- If you would like an information table in an alternate location, would like additional equipment, have additional IT needs, or will be serving food, we ask that you complete the Event Request form found at https://www.coconino.edu/rent-space
Per College Procedure 120-03 Commercial Solicitation and Information Tables, Commercial solicitation and information tables will be allowed on CCC campuses under the following circumstances:
- As part of a College Sponsored event that benefits the purpose and students of the College.
- From colleges or other institutions of higher education that Coconino Community College students could transfer to in order to complete their education.
- From non-profit organizations that offer programs and services to students.
Participation at information tables at College events is by invitation and organizations interested in participating in these events should contact the staff member organizing the event to host an information table.

This form should be used for information tables for colleges and institutions and non-profit institutions hosting an information table on a CCC campus.
Contact Information
Is your organization:*

A CCC Club, Department or OrganizationA college or university that CCC students may transfer to in the futureNon-profit
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Company Name or CCC Club, Department or Organization Name*
Date and Time Information
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Other Date Information
If your request includes more than one date, please indicated the start and end date for your request and indicate the dates you will actually be using the table in the box above.
Start Time*

Hour Minutes

AM/PM Option
End Time*

Hour Minutes

AM/PM Option
Preferred Campus*

Lone Tree - 2800 S. Lone Tree Rd., Flagstaff, AZ 86005Fourth Street - 3000 N. Fourth St., Flagstaff, AZ 86004Page Center - 475 S. Lake Powell Blvd., Page, AZ 86040
Other Campus Information
If you will be hosting tables at more than one campus, please indicate the dates for each campus in the box above.
Additional Tables, Chairs, or Equipment
Please upload a certificate of insurance

Cancelof
Applicant terms, conditions and signature
Applicant agrees to hold CCC harmless and will indemnify CCC for damages sustained as a result of injury or property damage for which CCC may be held responsible, as part of this request for use of CCC property.

Applicant assumes all responsibility for any food and beverages they choose to offer as part of this facility use event, and for any food-related damages, illness, or injury sustained by anyone in connection with this event.

The College reserves the right to cancel any reservation if deemed to be in its best interest to do so. The College will not be responsible for financial loss to a potential user if such cancellation is communicated five (5) calendar days before the scheduled facility use date. The College will not be responsible for financial loss to a potential user if the facility is made unavailable because of acts of God or any other circumstances beyond its control.

By signing this document, I agree to abide by the rules stated above as well as Coconino Community College Policies and Procedures. I understand this agreement is not transferable to any other individual or group.
Signature*

Clear
Signature Date*

MonthDayYear
Date
Should be Empty:

Information Table Request

Contact Information

Date and Time Information

Applicant terms, conditions and signature