Meeting Room Application

Submit application to use the Jefferson Public Library Meeting Room.

APPLICATION FOR THE USE OF THE MEETING ROOM

JEFFERSON PUBLIC LIBRARY

Meeting Start Time   Earliest time you will need the Meeting Room.
/ /   :
Meeting End Time  
/ /   :
Are you a human ?
In order to avoid spam, please answer the question below.
Question: What is Joeseph Rodriguez's first name ?
Your answer:

I have read the policy for public use of the meeting room and agree to comply with the provisions stated.

Signature / Date

This resource is supported by the Institute of Museum and Library Services under the provisions of the Library Services and Technology Act as administered by State Library of Iowa.