Faculty and Staff Event Planning Requests

Please complete and submit the form below. A copy of your request will be sent to the email address you list on this form. ***All fields on the form are required.***

If you have multiple dates and times for the same room and topic, enter the additional dates and times into the Comments/Questions/Special Requests section.

Please allow at least two business day to process and evaluate your request. Your room reservation request is not approved until confirmed via email.

Students: Please go to the Student Event and Room Requests page to make your reservation.

A copy of the e-mail you submit will also be sent to you as a confirmation.

Name
Email Address
Department, Group, or Organization
Purpose/ Description
Estimated Attendance
Room(s)	Check room availability before making a selection. (choose more than one by holding down the CTRL key)
Type of Event	If other, please specify:
Date(s)
Event Start Time	AM PM
Event End Time	AM PM
Have you checked the Events Calendar for conflicts?	Yes No
Will this event be catered?	Yes No
Will you have outside speakers at this event?	Yes No
Will you need help from Facilities with setting up your space for the event?	Yes No
Will you require any of the following assistance from Media Services?	Audio Conference Digital Recording (for classes) Digital Recording (for the Internet) DVD/VHS Playback DVD/VHS Recording (for individual viewing) Live Webcast Microphones (specify below) Overflow Broadcast Powerpoint Training On Classroom Technology Video Conference My event requires no assistance
Please describe any other Media Services assistance needed.
Your Comments/Questions/Special Requests

Faculty and Staff Event Planning Requests

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