Meeting Room Application - General Public Use

1. Submission Options & Room Usage Policies

2. Submission Options
   This form may be submitted online or printed and submitted to the Norwalk Public Library:<br> 1 Belden Ave.<br> Norwalk, CT 06850<br> Fx: (203) 857-4410 <br> <br> Before filing out a room application call the library at (203) 899-2780 ext. 15121 for room availability. Leave a message with your name, phone number, and the preferred date and time of the event. We will check the room availability and return your call as soon as possible.

   This form may be submitted online or printed and submitted to the Norwalk Public Library:
   1 Belden Ave.
   Norwalk, CT 06850
   Fx: (203) 857-4410
   
   Before filing out a room application call the library at (203) 899-2780 ext. 15121 for room availability. Leave a message with your name, phone number, and the preferred date and time of the event. We will check the room availability and return your call as soon as possible.

3. South Norwalk Branch Room Bookings
   Click here

4. Usage Rules & Regulations
   Room Usage Policy

   Please read the above Room Usage Policy prior to requesting a room. These policies cover meeting rooms and all other meeting space at the Main Library (1 Belden Avenue) and the South Norwalk Branch Library (10 Washington Street).

6. Room Details / Needs

7. Day room is needed:*
   -- Select One --MondayTuesdayWednesdayThursdayFridaySaturdaySunday

8. Date room is needed:*

9. Time of program:*

10. Time needed for setup:*

11. Time needed for cleanup:*

12. Room / space requested:*
    -- Select One --Main Library - Full Auditorium (175 capacity)Main Library - 3/4 Auditorium (100-130 capacity)Main Library - Chess Room (40 max. capacity)Main Library - Computer Lab (Staff Only)Main Library - Conference Room (12-20 max. capacity)Main Library - Children Activity Room (49 capacity - Children's programs only)Main Library - Lower Level

13. Room rental fee:*
    -- Select One --Nonprofit Organization$350 - Full Auditorium With Stage (175 capacity)$300 - $350 - Full Auditorium Without Stage (175 capacity)$250 - 3/4 Auditorium (100-130 capacity)$150 - Chess Room (1/4 auditorium, 40 max. capacity)#150 - Conference Room (12-20 max capacity)$150 - Children's Activity Room (for children's programs only)

    Note that the full amount of the room rental fee is due in advance.

14. Title of event, purpose of meeting, or main speaker's name:*

16. Organization / Requester Background Information

17. Name of sponsoring organization:*

18. Organization / group type:*
    -- Select One --IndividualNonprofit OrganizationFor-Profit Organization

19. Organization's website (URL):

20. Organization's email address (if available):

21. Address1*

22. Address2

23. City*

24. State*

25. Zip*

26. Requester's personal name:*

27. Requester's library card number:*

28. Requester's title:*

29. Requester's phone number:*

30. Requester's fax number:

31. Requester's email address*

33. Event / Program Details

34. Will you be charging admission?*
    -- Select One --YesNo

35. If yes, then how much will you charge?

36. Will you be selling products or services or soliciting customers?*
    -- Select One --YesNo

37. If yes, what will you selling / soliciting?

38. Program Description

39. How would you like the room arranged?

40. How many chairs will you need? And is there a specific way you would like them arranged?*

41. How many tables will you need? And is there a specific way you would like them arranged?*

43. Drink Service Needs / Equipment Needs

44. Will you be serving refreshments?*
    -- Select One --YesNo

45. If yes, what kinds?

46. Will you need refreshment tables?*
    -- Select One --YesNo

47. We have two Mr. Coffee machines and two 30-40-cup urns. Which of these will you need?*
    -- Select One --NoneOne Mr. Coffee machineTwo Mr. Coffee machinesOne 40-cup urnTwo 40-cup urnsOne Mr. Coffee machine and one 40-cup urnAll four options (two Mr. Coffee machines and two 40-cup urns)

48. Library also has the following items available for use. Please check what you will need for your event:
    1. Slide projector
    2. Video projector (projects onto a screen)
    3. Screen
    4. Large easel with paper
    5. Reversable chalk / marker board (4-by-6 feet)
    6. Reversable marker / bulletin board ( 3 by 4 feet)
    7. VCR / TV cart
    8. Overhead projector
    9. Microphone
    10. Podium
    11. Stage
    12. Laptop (by special arrangement)
    13. Computer projector (by special arranagement)

49. Other equipment you may need?

51. Form Completion & Submission Agreement

52. I agree to the Norwalk Public Library’s Meeting Room Policies and agree to pay room rental fees (if applicable) as well as charges for damages (if any) and overtime charges as agreed upon in advance.*
    -- Select One --Yes - I agree to these termsNo - I don't agree to these terms

53. Date of application submitted (today's date):*

Leave This Blank:


54. 1. Receive email copy
55. Email address

56. Submit

* indicates a required field