Facilities Request Form

Step 1 of 3

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Location of problem/issue:

Let us know the general area where the problem is located on the DUUF property.

What section of the building is the problem located?

Miller Hall (sanctuary)

RE Hall (fellowship hall)

Kitchen

Classroom 1

Classroom 2

Classroom 3

Classroom 4 (nursery)

Classroom 5 (back room/exit to playground)

Bathroom – Miller Hall (sanctuary)

Bathroom – RE Wing, east

Bathroom – RE Wing, west

Bathroom – Classroom 4 (nursery)

Other (please include location in description below)

Please select the relevant section(s) of the building.

Describe the issue:

Please describe the problem here, and let us know when you noticed it.

Where on the exterior of the building is the problem located?

North side (facing Cordell Street)

South side (the “back” of the building)

East side (facing the playground)

West side (facing the Memorial Wall)

Roof

Other (please include location in description below)

Please select the relevant section(s) of the building.

Describe the issue:

Please describe the problem here, and let us know when you noticed it.

Where on the property is the problem located?

Playground

Parking lot

Butterfly Garden

Northside lawn (between the building & Cordell Street)

Eastside lawn (between the playground/parking lot and Fulton Street)

Westside law (between the building and the culvert)

Other (please include location in description below)

Please select the relevant section(s) of the DUUF property.

Describe the issue:

Please describe the problem here, and let us know when you noticed it.

Describe the issue:

Please describe the problem here, and let us know in detail where it is located and when you noticed it.

Name

First Last

Date

MM slash DD slash YYYY

File

Max. file size: 100 MB.

If you have the ability to take a picture of the problem and would like to include it, please upload it here.

Facilities Requests