Building Use Request | The Congregational Church of South Hempstead

Email (Required)

Email Address.

Date (Required)

Date, Days and Requested Hours for Use of Space.

First Name (Required)

First Name of Contact.

Last Name (Required)

Last Name of Contact.

Cell/Mobile Phone (Required)

Address - Number, Street, Apt # (Required)

Please describe the event/activity you'd like to host in CCSH' facilities. Maximum attendance at any single event may not exceed 120 persons. (Required)

Wedding or Other Worship Event

Birthday, Anniversary or Other Party

Musical, Dance or Other Performance

Breakfast, Lunch or Dinner Event

Civic or Community Event

Funeral

Other

How many people will be attending this event (must not exceed 120 persons)? (Required)

Will this event be a fundraiser? (Required)

Building Use Information (One-Time Events) (Required)

Please review the following information on availability of space and staff at CCSH. Personnel Fees are charged only for events and activities held by individuals and organizations that are not affiliated with CCSH. CCSH makes the final decision on the space in which your event may be held. Fees quoted are for non-CCSH Members for events lasting up to 4 hours; additional charges apply for more than 4 hours. The security deposit for use of the Fellowship Hall kitchen or for meetings is refundable if the kitchen or fellowship hall is cleaned properly after use. Individuals that are CCSH members should contact the CCSH office for the member discounted building use fee schedule.

What space in the building would you like to use for your event/activity? (Required)

Sanctuary Only $500

Fellowship Hall Only (includes kitchen) $500

Sanctuary & Fellowship Hall $900

Security Deposit for use of Fellowship Hall Kitchen $300

Fellowship Hall Meetings (90-Minute Maximum) $150

Security Deposit for Fellowship Hall Meetings $75

Building Use Insurance Rider (all events) $50

Personnel Fees: Personnel Fees quoted here are charged only to non-CCSH members for events lasting up to 4 hours; additional charges for more than 4 hours. Discounted CCSH Member Personnel fees are available from the CCSH office.

For Weddings, Funerals, Performances, Other Events & Activities

Clergy (for Weddings; Includes Pre-Marriage Counseling) $375

Musician (Organist/Pianist) - With Rehearsal $350

Musician (Organist/Pianist) - No Rehearsal $300

Soloist (3-Song Maximum) $275

Event Coordinator (required with weddings) With Rehearsal $250

CCSH Ministry Events & Activities ONLY

INDIVIDUALS AND OUTSIDE ORGANIZATIONS PLEASE SKIP THIS SECTION AND GO DIRECTLY TO SECTION 4. This section is to be completed ONLY BY CCSH Ministries and Auxiliaries for events/activities including worship, community service, fundraising, etc.

MINISTRY EVENT / ACTIVITY INCOME

Please estimate the amount of money that you expect to generate through each source listed below as a result of your ministry event or activity. Please remember to add up the total ministry event/activity income at the end.

Ministry Event / Activity Start-Up Funds (raised or donated in advance by members of this CCSH Ministry, not provided from the CCSH general budget).

Ticket Sales / General Admission

Donations/Sponsorships

Other Income (Anticipated free will offering, etc.)

TOTAL MINISTRY EVENT / ACTIVITY INCOME

MINISTRY EVENT / ACTIVITY EXPENSES

Support to Advance CCSH Mission (Amount you plan for this Ministry Event / Activity to raise for CCSH - suggested amount is 25% of Ministry Event / Activity income).

Support for Ministry Hosting this Event (Amount you plan for this Ministry Event / Activity to raise for this CCSH Ministry - suggested amount is 25% of Ministry Event / Activity Income).

Speaker(s) - Honorarium, Travel, other expenses

Musicians/Artists or other Event Participants

Food, Supplies, Decor

Other Expenses

TOTAL MINISTRY EVENT / ACTIVITY EXPENSES

CCSH Ministry - Thank you for submitting your CCSH Building Use Application. Thank you CCSH Ministry, you have provided all necessary information. If you are completing this form for a CCSH Ministry, PLEASE SKIP SECTION 4 and go to SECTION 5. After you rea

(Individuals & Outside Organizations Only) Organization / Individual Information

Organization / Individual Name

This section is required for individuals (including CCSH members) or organizations that are NOT affiliated with the Congregational Church of South Hempstead UCC.

Organization / Individual Name

Name, & Title of Organization Official Completing This Form

Organization Official or Individual's Email Address

Organization or Individual's Mailing Address (City, State, Zip)

Individual or Organizational Contact's Cell Phone (If different from the cell phone provided above)

Organization Website or Facebook Page

What type of organization is it?

Church

Civic/Community Organization

For-Profit Business

For Completion by Trustees

Approved

Not Approved

Signature of Trustee Chair

Second Trustee Signature