國立中興大學課外活動組場地借用申請單 2025.08
Application for Renting Venues from the Extracurricular Activities Division
申請資訊Application information | |||
申請單位 Applicant | 核准日期 Approval date | 年 月 日 ___(D)/ ___(M)/ ____(Y) | |
申請單位聯絡人 Contact person of the applicant | 聯絡電話 Contact number | ||
電子信箱 | |||
聯絡地址 Contact address | |||
活動全稱 Full name of the activity | |||
借用期間 Borrowing period | ○○○年○○月○○日○○時○○分 至 ○○○年○○月○○日○○時○○分（4小時計1時段，共 時段） From to (4 hours counted as 1 time slot, total time slot) | ||
借用地點 Borrowed venues (請勾選) (please tick) | □F0 □F2 □F4 □F6 □F8 □F10 □F12 □舞蹈教室Dance Studio □草地廣場Grass Stage □雲平廳Yun-Ping Hall □興藝廳Xing-Yi Room □藏修坊Workshop Corner □息游坊 Recreation Corner □樂學坊Philosopher Corner □樂群坊Fellowship Corner □居學園Ju-Xue Workshop □會議室A Meeting Room A □會議室BMeeting Room B □討論室A Discussion Room A □討論室B Discussion Room B □圓廳302展演空間 Round Hall 302 □圓廳303展演空間Round Hall 303 □惠蓀堂南廣 Hui-Sun Memorial Hall South Site □惠蓀堂北廣 Hui-Sun Memorial Hall North Site □小禮堂 Small Auditorium □怡情廳Yi-Qing Hall | ||
備註 Remarks | (黃色底色處請務必詳細填寫) (Please fill in the details in the field in yellow) | ||
承租單位(人) 統一編號 Tenant (person) Uniform No. | |||
申請程序Application procedures | |
Confirmation: please refer to the website of the Group to confirm the required venue and equipment, and scan the QR code to inquire about related matters.
Application: Fill in the "Application Form for Venue Borrowing" and send it in hard copy to the Extracurricular Group (on-campus) or email it to [email protected].
繳費方式： 1.以繳費單之虛擬帳號(銷帳編號)匯款至校務基金專戶 2.至出納組繳現金(憑證由繳款人當場領走) 3.使用超商條碼至四大超商(統一、全家、萊爾富、OK) 繳費。 匯款證明請email給本校通知的管理員，俾憑開立發票。 Off-campus: please pay the confirmed venue fee and cleaning fee in the following ways Payment method: 1. Use the virtual account number (debit number) of the payment slip to remit the money to the special account of the Office of School Affairs; 2. Pay the money at the cashier's office (the receipt will be collected by the payer on the spot); 3. Use the barcode to pay at the four major convenience stores (7-11, Family Mart, Hi·Life, and OK). Please email the remittance proof to the notifying administrator of the school for issuing the invoice.
On-campus: go to the cashier's office to pay the venue fee and cleaning fee, return the first copy of the "Payment Notice" (payer's receipt) to the Extracurricular Group to confirm that the payment has been made, and then complete the loan process.
Restoration: please read the usage instructions of each venue carefully before use, and clean and restore the venue according to the instructions.
Compensation: If the equipment is damaged, the borrower shall be responsible for compensation. | |
申請借用單位 On-campus units | 申請人簽章Applicant:主管Supervisor: |
場管單位審查意見 Review opinion of the venue management unit | 承辦人Undertaker:主管Supervisor: |
費用總計Total cost: 新台幣 元整（NT$） | |
認：請詳閱本組網站確認所需借用場域、設備，相關事宜可掃描※備註：收費請參考「國立中興大學學務處課外活動組場地租用辦法
※Remarks: Please refer to "Measures for Renting Venues from the Extracurricular Activities Group of the Office of Student Affairs (NCHU)" for relevant fees.