School District of Holmen

Educating Every Student to Achieve Global Success

Facility Use Request Form Instructions

The School District of Holmen welcomes the community to use its facilities. Policy and facility use forms can be found at the left. 


• Save the appropriate form for the building/area needed and open the file in MS WORD.
• Complete all requested personal information and information on the event.
• EVENT START & END DATE – List the day of the week and the date (i.e. Wed, Sept 3).
• EVENT START & END TIMES – Indicate times, including a.m. or p.m., if setup time is different, list setup time also.
• MULTIPLE DATES – Please list ALL dates (i.e. Sept 1, 8, 15; Oct. 6, 13, 20 etc.).
• Trygve Mathison Fine Arts Center – is located in High School.
• Don Jacobson Auditorium – is located in the Middle School.
• Please indicate any setup needs, attaching a separate sheet if you need more room for explanation.
• Save the completed document for your verification.
• Email the attachment to Naomi Rislow at
• When your request is approved you will receive a signed copy via mail.

Facility requests should be turned in by July 1 for the upcoming school year to receive priority consideration.