CHUCO’S JUSTICE CENTER
Space Application
Name: ____________________ Date: __________________
Organization: ________________________________________
Mission of Organization: ______________________________________________________________
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Contact Information:
Phone: _____________________
Cell Phone: _____________________________
Current Address: ______________________________________________________________
E-mail Address: ______________________________________________________________
Website: ______________________________________________________________
Refer to page 1 of this application, and describe how your organization fits into the mission of Chuco’s Justice Center:
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How much space will you need? What dates and times will you need the space? How many people are you expecting will be attending? Include what shared space -- (e.g. classrooms, spray room,
large events areas, conference room, etc.) -- you will need. _______________________________________________________________
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Please describe the event and the purpose. (Please add as much detail as possible.)
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What can you contribute to the space and its members? (Please indicate any financial contribution as well as services/resources/trainings you can give.)
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Please sign below to indicate that you have read, understand and agree with the attached space guidelines and commit to following them.
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Signature Print Date