Form Center

2. The Franklin Center of Advanced Learning & Enterprise

   50 Claiborne Avenue

   Rocky Mount, VA 24151

   Phone: 540-483-0179 | Fax: 540-483-1297

   E-Mail: FranklinCenter@franklincountyva.gov

   Internet: http://www.thefranklincenter.org

4. For organizations that do not have a formal partner agreement with The Franklin Center, reservation requests must be submitted at least two (2) business days prior to the event.
8. Organization Name*
10. Street Address*
11. City*
12. State*
13. Zip*
15. Primary Contact Name*
16. Phone Number*

    Please provide us with a contact phone number. Format: Ex. 5554443333. Please DO NOT add dashes.

    
    

17. E-Mail Address
19. Alternative Contact

    If applicable, please provide us with an alternative contact.

20. Alternative Phone Number

    If applicable, please provide us with an alternative contact phone number. Format: 5554443333

21. Alternative Email Address

    If applicable, please provide us with an alternative contact email address.

23. Is this your first time renting our facility?

    1. Yes
    2. No
27. Event Name*
28. Number of People Expected at the Event*

    If more than one date with different number of people sperate with a comma. (Ex. 10/20/25, 20 people, 10/21/25, 23 people)

30. Event Date(s)*

    If more than one date sperate with a comma. (Ex. 10/20/25, 10/21/25)

32. Events must fall within The Franklin Center's operating hours.

    Monday - Thursday 8:30 A.M. - 8:00 P.M.  |  Friday 8:30 A.M. - 5:00 P.M. 

34. Event Start Time*
35. Event End Time*
37. Requested Space
    -- Select One --Tiered Lecture HallMultipurpose RoomConference RoomClassroomOfficeComputer Lab
39. Is more than one room required?*

    1. Yes
    2. No
41. Rental Fees *

    1. Non-Profit Business Half Day (up to 4 hours) - $35.00
    2. Non-Profit Business Full Day - $100.00
    3. For Profit Business (up to 4 hours) - $100.00
    4. For Profit Business Full Day - $200.00
    5. Partner Agency
43. If you are a non-profit, you MUST attach a copy of your 501(c)(3) IRS tax-exempt form to receive non-profit rates.
47. To be eligible to use the facilities of The Franklin Center, your program must:
    • Have a clearly identifiable continuing education component OR
    • Be related to economic development and/or workforce development. 
49. Please describe your event and its alignment with these requirements.*
53. On the day of the event, a representative from your organization must be on-site during the entire event.

    This individual is responsible for serving as the point of contact and ensuring that all facility policies are followed. If this contact person changes, please notify us promptly.

55. On-Site Representative Name*
56. On-Site Representative Phone Number*

    If more than one phone number separate with a  comma.

60. Please check all that you request The Franklin Center provide for your event:

    1. Laptop Computer
    2. Multimedia Projector
    3. Conference Call Phone
    4. Meeting OWL
    5. Lapel Microphone
    6. Mobile Projector

    1. Refreshment Table(s)
    2. Wired Mouse
    3. Clicker
    4. Display Table
    5. Registration Table
62. Any additional notes or requests?
66. Please review the Franklin Center Reservation Guidelines.

    https://tinyurl.com/2s4yhmvu

68. Agreement*

    I am authorized to act on behalf of the listed organization, and I am authorized to reserve space and services for the event as described in the reservation request form. I understand that charges will be made for the facilities and services described unless this reservation is canceled in writing prior to the applicable cancellation deadline, as outlined in The Franklin Center Reservation Guidelines. I hereby certify that the information I have provided is complete and accurate, and I will abide by the terms and conditions of the Franklin Center Space Rental Agreement incorporated by reference herein. I confirm that I have read and agree to follow The Franklin Center Reservation Guidelines. I agree that my typed name on this application is the legally binding equivalent to my handwritten signature. I will not, at any time in the future, repudiate the meaning of this signature or claim that this signature is invalid and/or not legally binding.

    1. I agree.
70. Electronic Signature*
72. Disclaimer:

    Please note that completing this reservation request form does not guarantee room availability!

Leave This Blank:


74. 1. Receive an email copy of this form.
75. Email address

    This field is not part of the form submission.

76. Submit

* indicates a required field