STANDARDFACILITYREPORT.doc

STANDARD FACILITY REPORT -- UNITED STATES Registrars Committee of the American Association of Museums Adopted 1998 Borrowing Institution Profile Name of Borrowing Institution/Loan Venue Contact Person Title Mailing Address Street Address Shipping Address Telephone Number Fax Number E-mail Address World Wide Web URL Purpose of Loan/ Exhibition Title Dates at Loan Venue  STANDARD FACILITY REPORT Adopted by the Registrars Committee American Association of Museums, 1998 NOTICE IT IS UNDERSTOOD THAT THE INFORMATION INDICATED IN THIS FORM IS CRITICALLY CONFIDENTIAL AND WILL BE USED BY THE POTENTIAL LENDING INSTITUTION ONLY IN EVALUATING FACILITIES OF POTENTIAL BORROWERS AND IN PREPARING APPLICATIONS FOR INDEMNITY. THIS FORM MUST BE STORED IN A SECURE LOCATION AND NO COPIES ARE TO BE MADE OR DISTRIBUTED WITHOUT THE EXPRESS CONSENT OF THE SUBJECT INSTITUTION. THIS FORM MUST NOT BE DISTRIBUTED VIA FAX. INSTITUTION NAME: Please attach a floor plan of the museum, indicating: where borrowed object(s) will be displayed receiving area location of reception areas location of portable fire extinguishers, fire suppression and detection systems Floor plan attached Yes No Please indicate the system of measurement used to report dimensions and weight capacities for your museum: English measure (feet, inches, miles, etc.) International System of Units (IS) (meters, centimeters, kilograms, kilometers, etc.) 1. GENERAL INFORMATION 1.1 Is your institution currently accredited by the American Association of Museums? Yes No If yes, date of most recent accreditation decision 1.2 Check the type(s) that best describe your institution: Museum (non-profit) Aquarium History Arboretum/Botanical Garden Natural History/Anthropology Art Nature Center Children’s/Youth Science General Zoo Historic House Other (sp