Date of Request: *

MM

DD

YYYY

Work Location: *

Victory Youth Building

VCC Dome

VCC Preschool

Campus 3

After-School Building

Missions House

Women's Shelter

VCC Middle/High School

More Than Conquerors College

Other (please specify)

Requested Priority: *

High - Must be done within 24 hours

Medium - Within the week

Low - When you get a chance

**IMPORTANT: If you are not a VCC department or ministry of helps leader, have you received approval from the maintenance department to submit this request? *

Yes

No