Room Reservation and Scheduling Request Form

If you see this don't fill out this input box.

Event Number (if you have previously reserved a room)

*First Name

*Last Name

*Email_Address

*Phone Number

*A-Number

Who are you?

----------- Student Faculty Staff

*Description of the Activity

*Start Time:

*End Time:

*What dates will you need the room?

What technology will you require in the room?

NoneOverhead ProjectorDVD-VCR, projector, ELMO, ComputerDistance Education Capable

How many seats are required in the room?

------------- 15-40 40-80 80-100 100-400

Name of Faculty Sponsor (required if reserving party is a student)

A-number of Faculty Sponsor (required if reserving party is a student)

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