Application for Use of the Meeting Rooms

To apply for use of the Library's meeting rooms:

First, read our Meeting Room Policy to be sure your group is eligible to reserve a Meeting Room.

Second, print this page.

Third, call the Chelmsford Public Library at (978) 256-5521 to confirm that the date you want is available.

Once you have the confirmed date, send the completed form to the Library by fax (978-256-8511), mail or in person to 25 Boston Road, Chelmsford, MA, 01824.

Date ____________________________

Organization _________________________________________________________________

Authorized Representative ____________________________________________

Day Time Phone ___________________________________

Complete Address ________________________________________________________________

Email Address _________________________________________

Type of organization:

Educational

_____

 

Cultural

_____

 

Civic

_____

 

Other (please explain)

_____

 

Purpose of the organization: ____________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

I certify that I _________________________________ (your name) am an authorized representative of

_____________________________________________ (organization) and have read and agree to abide by and uphold all policies and regulations governing the use of library premises or equipment. I understand our organization must receive written permission from the Library Trustees to waive the Meeting Room Guidelines that state, "All meetings are free and open to the public" and No admission fee may be charged, no business, food or donations may be solicited, directly or indirectly, and no merchandise or beverages may be sold by any group without written permission in advance from the Board of Trustees or the Library Director."

I want to reserve the

  • McCarthy Meeting Room A (kitchen side holds 25 people auditorium seeting) _______
  • McCarthy Meeting Room B (window side holds 50 people auditorium seeting) _______
  • Whole McCarthy Meeting Room B (holds 75 people auditorium seeting) _______
  • Conference Room (holds 12 people at a conference table) _______

Please list below your first, second for meeting dates. (For example, Tuesday, November 16 from 7-8:45 pm or
3rd Tuesday of each month from 7-8:45 pm.)

Date(s)

Time Meeting Starts

TIme Meeting Ends

Maximum # of Attendees

1st Choice

2nd Choice

3rd Choice

__________________

__________________

__________________

___________________

___________________

___________________

___________________

___________________

___________________

_________

_________

_________

A custodial fee of $25 will be charged for any hour or part of an hour after 9 pm. Checks should be made payable to the Chelmsford Public Library.

Light refreshments : ______ will be served -or- ______ will not be served.

Please check off any items you are requesting for the above meeting date:

______

Lectern

______

5' long table (max. 10)

______

Public Address system

______

Stackable chairs (max 72)

______

TV/VCR

______

Extension cord

______

Piano

______

White board/flip chart

______

Slide projector

______

Projection screen

______

10-cup coffee maker (max. 2)

______

Vacuum cleaner

______

100-cup coffee maker

______

Multi-media projector - can be used with your own laptop

______

Easel stand

 

 

Note: no stove or microwave available.

McCarthy Room Seating Arrangement:

______

Chairs in rows

______

Tables with chairs

______

Circle of chairs

______

Other (please include a diagram)

Signature: _____________________________________________________________

Date ______________________________

Please return this application form to the Library in person, by mail or by fax. A confirmation will be returned. Filing an application does not guarantee a room - the Library must grant confirmation. For help with the meeting room application or more information, please contact Nancy Rager at 978-256-5521, x100, or send her an email.