Meeting Room Reservation Request Form

Today’s Date & Time

Name of Organization/Individual
Non Profit / Community Group / Individual For Profit Government Agency Educational Institution

Meeting Event/Title
Refreshments/food: YES NO

Estimated Attendance Audiovisual Equipment: YES NO

(see reverse side)

Contact Person

Address
Email Address

Daytime Telephone # Evening Telephone #

Meeting Location MEO Central Auditorium MEO Central Folio MEO Central Libris MEO Central Folio & Libris

Great Neck Kempsville Joint-Use Oceanfront Princess Anne Bayside

If reserving more than one meeting location, a separate form for each location needs to be completed. Meeting rooms can be reserved
in 30 minute increments. Please indicate below the dates and times you’d like to make a reservation and you will receive confirmation
from the library based on availability. If requesting more than one date/time for one reservation, please mark the check box below the
date to show it’s an alternate choice to the previous date/time (in case first choice is unavailable).
Day & Date of Week Day & Date of Week Day & Date of Week Day & Date of Week Day & Date of Week Day & Date of Week

□□ alternate choice □□ alternate choice □□ alternate choice □□ alternate choice □□ alternate choice

Meeting Start Time: Meeting Start Time: Meeting Start Time: Meeting Start Time: Meeting Start Time: Meeting Start Time:
(including setup) (including setup) (including setup) (including setup) (including setup) (including setup)

Meeting End Time: Meeting End Time: Meeting End Time: Meeting End Time: Meeting End Time: Meeting End Time:
(including cleanup) (including cleanup) (including cleanup) (including cleanup) (including cleanup) (including cleanup)

Please note: the meeting room is not scheduled until confirmation is received from the library.
I understand my submission of this form does not confirm or guarantee my reservation. Meeting rooms are reserved based on
availability and are on a first come, first serve basis. I have read the library’s meeting room policy and the Meeting Rooms Terms &
Conditions of Use and agree to abide by it.

Printed Name

Signature Date

VBgov.com/libraries VBPL 123 Rev. 12-2017

 Audiovisual Equipment List

Bayside Library Great Neck Library

□□ Large Flat Screen Display □□ Large Flat Screen Display
□□ TV □□ Projector Screen
□□ DVD Player □□ Whiteboard
□□ CD Player □□ Lectern
□□ Multimedia Projector (laptop and cables not provided)
□□ Overhead Projector Joint-Use Library
□□ Easel (paper and markers not provided) □□ Computer
□□ Audio Amplification System (helpful for persons with □□ Large Flat Screen Displays (4)
difficulty hearing, or large groups) □□ WiFi (advance notification required to arrange access)
□□ Document Camera (similar to an overhead projector)
MEO Central Library Auditorium □□ Telephone
□□ Lectern
□□ Easel (paper and markers not provided) Kempsville Library
□□ Projector Screen □□ Large Flat Screen Display w/DVD Player
□□ Microphones: □□ Large Flat Screen Display for Laptop Computer
□□ Lectern Microphone Presentation
□□ Wireless Lapel Microphone (1 only) □□ HDMI Cable for Windows-based Laptops
□□ Wireless Hand Held Microphone (1 only) □□ Hearing Impaired System
□□ VCR
□□ DVD Player Oceanfront Library
□□ Multimedia Projector (laptop and cables not provided)
□□ Large Flat Screen Display (laptop & cables not
□□ Slide Projector (carousel not provided)
provided)
□□ Projector for Transparencies
□□ Whiteboard
□□ Chalkboard (chalk and erasers not provided)
□□ Hearing Impaired System
Princess Anne Library
MEO Central Library - Libris/Folio Room(s) □□ Lectern
□□ Whiteboard
□□ Lectern, Easel (paper and markers not provided)
□□ Overhead Projector
□□ Overhead Projector for Transparencies
□□ Projector Screen
□□ TV
□□ Flip chart stand (flip chart and markers not provided)
□□ VCR
□□ Large Flat Screen Display (laptop and cables not
□□ DVD Player
provided)
□□ Projector Screen
□□ Chalkboard (chalk and eraser not provided)
□□ Podium Microphone (for combined meeting room only)
□□ Multimedia Projector (laptop and cables not provided)
□□ Hearing Impaired System

For City Departments Only

□□ City staff network internet access
(organization must supply connection cables and is
responsible for changing laptop internet access settings)