Request for Facility Access

Please fill out this form and click submit.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Access Type Requested

Distribution of badge cards, alarm code, and keys is to be determined by an individual's need to access specific areas. Please provide the type of access that you need in the area below.

Access Card/Badge Pass:

*

Please select all that apply.

I currently have a badge I am requesting a badge for the first time

Current Badge Number - If Applicable

Your badge number is a 7 digit number in this format 70:54321. Do not enter letters or characters that appear before the number. Please include the colon ":"

Please identify you work/volunteer group:

*

Please select one option.

Church Staff Member Archives Choir Member Communion Volunteer Counters Finance Member SPRC Member Trustee Member Shared Breakfast Volunteer Worship Team Volunteer Blaine Center/Compass Staff Member Garage Only (IPM) Other

Specify Other:

List any additional information, or specify a second volunteer area here.

Alarm Code

*

Please select one option.

Access outside of normal hours - Code Needed Access only during normal hours - Code NOT Needed

For Staff Use Only

Alarm Code Issued

Please select all that apply.

Yes

Key Type Issued

Please select one option.

A - Master AC - Interior

Description

Please fill out this form and click submit.

Please Fix the Following

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