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Scheduling Room Request Form

Please fill out the following form to submit a room request. A confirmation of the form will be emailed to you. Required fields are in red.

Requested By:

Contact Name (if different):

Contact Phone:

Contact Dept / Org:

Contact Email Address:

Event Semester:

Fall January Spring Summer

Event Title / Type:

Expected Attendance:

Will people from off-campus be attending this event?

Yes No

Are you partnering with any outside organizations for the event?

Yes No

Will there be an admission fee for the event?

Yes No

Will food be served?

Yes No

Event Date:
(mm/dd/yyyy)

START DATE
END DATE

Event Time
(24 hr clock):

START TIME: Hour    Min
END TIME: Hour    Min

Is AV Equipment Needed?

Yes No

Seating Preference:

Room preference:

First Choice
Building: Room:
Second Choice
Building: Room:

If first or second choice room preference is not available, may we substitute a comparable room?

Yes No

Additional Comments?