Room Requests Room Scheduling Request Day of the Week: * Date(s): * Start Time of Event: * End Time of Event: * Setup Time: * Teardown/Clean Up Time Needed: * Name of Event * Activity Planned * Number of People Attending * Contact Person * Phone Number * Email Address * First Room Preference * Room charges may apply Second Room Preference Room charges may apply Set-Up Information Use room as is, no custodial needs. Round Tables of 10 (only avail in GP & FH) Round Tables of 8 (only avail in GP & FH) Hollow Square (# attending will determine size) Theater Style (# attending will determine number of rows) Lecture Style How many 6' Banquet Tables do you need? Set-Up Notes A/V Media Needs Microphone Laptop Needed (If self-provided, must have HDMI connection) PowerPoint Set Up CD/DVD Set Up ***A/V requests are not guaranteed. What time do you need A/V Member to arrive? Do you need a member of the A/V Team to run the entire event? If so, there is a $50/hr charge for a 2-hour minimum. Please account for 30 minutes of set-up and 30 minutes of breakdown. Insurance * I will provide Certificate of Insurance by start of event. Current Certificate of Insurance is on file. **Choose one option I agree the room(s) will be returned to the state it was from the start of my event. All trash will be placed in trash bins. All lights, a/c, or heat will be turned off at the end of my event and all doors will be secured. * Please sign with name. I wish to pick up a key and closing procedures on what date? * Additional Notes If you are human, leave this field blank.