APPLICATION FOR COMMUNITY USE OF SCHOOL FACILITIES

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APPLICATION FOR COMMUNITY USE OF SCHOOL FACILITIES Please Submit Application To: COMMUNITY USE OF SCHOOLS OFFICE 3301 Stafford Drive Charlotte, NC 28208 980-343-5290 SCHOOL REQUESTED: (List In Order Of Preference) (1) (2) (3) SUBMITTED BY: (Organization): Is This Organization For Profit or Non-Profit? Non-Profit Tax ID Number: Individual Making Request: Name Title Address City, State, Zip Telephone: Home/Cell Work Fax/Email Purpose of Use: (Activity) Number of Adults: Number of Youth: TOTAL Estimated Number of Participants including Spectators: Name of Individual Representing Organization To Be Present and Responsible at Function: INTERIOR SPACE REQUESTED (Please Check All That Apply) Multipurpose Room Cafeteria Kitchen Gym Auditorium Media Center Classroom(s) (How Many? ) Other (Describe Specifically) EXTERIOR SPACE REQUESTED (Please Check All That Apply) Baseball Softball Football Track Soccer Practice Field Tennis Courts Open Field Composite Playground Parking Lot(s) Other (Describe Specifically) Time Desired: (Please Specify Each Date and Time) MONTH(S) SPECIFIC DATES(S) DAY(S) OF WEEK OPENING TIME CLOSING TIME Last Revised On 3.23.18

Application Guidelines Applications must be received a minimum of ten (10) working days before the requested date or a maximum of three months in advance of the requested date. An expediting fee of twenty-five dollars ($25.00) will be assessed for an application received less than ten (10) business days prior to the desired date of use, if the application is approved. Applications may also be submitted on-line by going to: www.schedulefm.com/charlotte/request IN ORDER TO START THE APPLICATION PROCESS WE MUST HAVE THE FOLLOWING: Application Fee of $35.00 (non-refundable) may be paid by check or money order payable to Charlotte Mecklenburg Schools or may be made through our on-line payment system located on the CMS website: 1. Electronic Checking/Savings Account Payments Link: WebPay EasyDraft-Bank Accounts 2. Credit/Debit Card Payments Link: WebPay EasyDraft-Card Accounts If application is approved, this fee will be applied to the amount owed for use of facility. PLEASE NOTE: Application WILL NOT be processed until application fee is paid. Completed Application Form which must be filled out entirely including Organization Name Tax ID Number (If Non-Profit) Purpose of Use Number of People Using the Facility Exact Starting and Ending Dates Exact Starting and Ending Hours including Set-up and Clean-up Time Certificate of Liability Insurance: Please attach a copy of your group s certificate of liability insurance. (See online sample for details.) If your group does not have liability insurance or a copy of the certificate, this must be received at least one week prior to the date of the event or start date of the contract. WHAT TO EXPECT: It is the intent of Charlotte-Mecklenburg Schools to review each application favorably and equitably based on the information submitted by the requesting organization. Submission of an application does not guarantee approval. Approval is not granted to an organization solely on their legacy of using Charlotte-Mecklenburg Schools facilities. Please allow approximately two weeks to receive the result of your request. Usage requests are sent to the schools for approval in order to avoid conflicts with school-scheduled activities. You will be notified of the decision via email. If the application is approved, an Estimated Contract and an Invoice will be attached to the email. All Contracts will incur an additional fee equal to one (1) hour s rent at the conclusion of the rental period for the purposes of breakdown and/or cleanup of the facilities. CMS requires the Estimated Contract to be digitally signed by an authorized agent of your organization, and applicant must pay total amount within 15 days from the contract date, or two business days prior to start date, whichever comes first.

FEE SCHEDULE - For-Profit & Non-Profit Tiers Facility Non-Profit Tier For-Profit Tier Athletic Fields See 'Athletics Tier' Fee Schedule. See 'Athletics Tier' Fee Schedule. Auditorium $50/hour $100/hour Cafeteria $30/hour $60/hour Cafeteria with Kitchen (manager required) $60/hour $120/hour Classroom $25/hour $50/hour Gymnasium $30/hour $60/hour Locker Rooms (if approved) $15/hour $30/hour Media Center $25/hour $50/hour Multi-Purpose Room $30/hour $60/hour Other Inside Facilities (including common areas) $25/hour $50/hour Parking Lot(s) $65/day or $15/hour $130/day or $30/hour Swimming Pool $45/hour (3 hour minimum) $90/hour (3 hour minimum) Pool Manager $25/hour $25/hour Lifeguard $12/hour $12/hour

Facility FEE SCHEDULE - Athletics Tiers Athletics Tier Non-Profit INSIDE Gymnasium $30/hour $60/hour Multi-Purpose Room $30/hour $60/hour Athletics Tier For-Profit Swimming Pool $45/hour (3 hour minimum) $90/hour (3 hour minimum) Pool Manager $25/hour $25/hour Lifeguard $12/hour $12/hour Locker Rooms (if approved) $15/hour $30/hour High School Football Stadium or Track Negotiated with School Negotiated with School Football Stadium Turf Field Negotiated with School Negotiated with School Baseball Stadium $30/hour $60/hour Softball Stadium $30/hour $60/hour Soccer Field (not stadium) $20/hour $40/hour Tennis Court $25/hour each court $50/hour each court Practice Field $20/hour $40/hour Middle School Football Field $15/hour $30/hour Baseball Field $15/hour $30/hour Softball Field $15/hour $30/hour Soccer Field $15/hour $30/hour Track $15/hour $30/hour Practice Field $10/hour $20/hour Open Field/Grassy Area $10/hour $20/hour Elementary School Baseball Field $10/hour $20/hour Practice Field $10/hour $20/hour Track $10/hour $20/hour Open Field/Grassy area $10/hour $20/hour Composite Playground $10/hour $20/hour Outside Athletic Facilities OUTSIDE Restroom Facilities $25/hour $50/hour Press Box (upon approval) $25/hour $50/hour Concessions (upon approval) $25/hour $50/hour Stadium Lighting $10/hour $20/hour Public Address System/Scoreboard $10/hour $20/hour Equip Rental (upon approval) $20/hour $40/hour

FEE SCHEDULE - Additional Tiers Facility Special Notes School Related Tier Enrichment Tier Governmental Tier Applicable for meeting purposes only, or in the course of regular activities. All other uses charged at nonprofit rates This category includes nonprofit groups or organizations that offer educational or cultural enrichment services at no cost to CMS students through their use of CMS facilities. Organizations must have programming approval through Chief Academic Officer and the Executive Directors of The Learning & Teaching Department. Applies to Educational Spaces only. Applies to the two hour period before normal school bell time, and two hour period after normal school bell times only. Operation outside these parameters will incur fees at the Non-profit rates. Applicable for meeting purposes only, or for Police or Fire Department training exercises, Mecklenburg County agencies Sheltering, etc. Does not apply to political office holders or candidates for political office. These will be charged for use of space at the Non-profit tier rates. Operation outside these parameters will incur fees at the Non-profit rates. Auditorium No Charge No Charge No Charge Cafeteria No Charge No Charge No Charge Cafeteria with Kitchen (manager required) No Charge No Charge No Charge Classroom No Charge No Charge No Charge Gymnasium No Charge No Charge No Charge Media Center No Charge No Charge No Charge Multi-Purpose Room No Charge No Charge No Charge Other Inside Facilities (including common areas) No Charge No Charge No Charge Parking Lot(s) No Charge No Charge No Charge

Fee Type FEE SCHEDULE - Additional Fees Fee Amount Note Application Fee $35.00 Late Payment Fee $25.00 Expediting Fee $25.00 Contract Revision Fee $25.00 Non-Sufficient Funds Fee $25.00 Online Payment Fee - Credit/Debit Card 2.25% Online Payment Fee - Checking/Savings Account $2.10 Non-refundable; if approved this fee will be deducted from total amount owed. If denied, this fee can be applied to subsequent application. Payment of facility fees is due within fifteen (15) days of the receipt of the executed contract or two (2) business days prior to the start date, whichever date comes first. A late payment fee will be assessed for payments received after the deadline. This fee will be assessed for applications received less than ten (10) business days prior to the desired date of use if the application is approved. This fee will apply to EACH requested revision. A maximum of three (3) revisions will be permitted per contract. Requests for changes must be received by the close of business (5:00pm) at least two (2) business days prior to the scheduled event. Cancellations will be processed as contract revisions and this fee will be assessed. All payments resulting in an 'Non-Sufficient Funds' return will be assessed this fee. This service fee will be applied by our service provider to each payment made by credit or debit card. This service fee will be applied by our service provider to each payment made electronically via checking or savings account. Custodial Fee $25.00 All contracts will incur an additional fee for custodial services per day.