Application for Use

Application form for rental space

(Monty Dickson Hall, Meeting Room, Workshop Room, Tatami Room, Lecture Room)

  • * denotes required entries. The form cannot be sent without completing these parts.
  • Information for the items with the mark # may be open to the public on the website of Rikuzentakata Global Campus.
  • For multiple reservations, please use the Multiple Reservation Form, and send it with this form by email or fax.
  • Please contact to the reception when you should make changes to the reservation.
Applicant Name #*
Applicant's Organization Name #*
Contact information: E-mail address*
Contact information: Phone number*
Supporting Member Information*What is a Supporting Member?
Rental Space Purpose(or Event Title) #*
Date/s of use #*
Timings #*

Programs Date

(Date/s of Event or Program
Please fill in if the date/s of event or program is a part of the "Date/s of use".)

Program Timings

Room/s and/or Facilities #*(multiple selections possible)
Facility you want to use(Buildings other than Global Campus ・Multiple choices)
Device/s (multiple selections possible)
Number of Participants (approx.) #*
Car Parking #*
Open to Public? #*
Providing information to the media (notification to press club)
Message for Introducing the Event to Public
Additional Requests
Poster/Flyer of the Event(jpg/png/pdf, up to 10MB)

[Reference] See below for accommodations in Rikuzentakata city.


Reception (Office)

Rikuzentakata Global Campus Reception
Phone: +81-192-47-3901
Fax: +81-192-53-1901
Address: 13-10, Aza Kanda, Yonesaki-cho, Rikuzentakata, Iwate
Hours for reservations and inquiries:  9:00 – 17:00(Only on days when the superintendent is present