Title of Event: 

Building Requested: 

Room Requested: 

Event Date:   & 

Est. Attendance: 

Please indicate am or pm or am will be assumed.
Do you want this event publicized?Yes No

Beginning of Event:     End of Event:          
Beginning of set-up:    End of tear down:   

Requestor:         Campus Box #:

Phone #: 

Sponsoring Organization or Department: 

Please list any equipment needed in the following section:


Special Instructions:

Notices to keep in mind:

• Requests should be submitted seven (7) working days prior to an event, but requests should be submitted as early as possible to ensure the availability of facilities.
• Facilities are scheduled on a first come, first serve basis.
• Reserving one area does not give access to any adjoining areas without permission.
• It is the requestor's responsibility to confirm any B&G, Security, and Food Service requirements.
• Requestor is also responsible for keeping the facility clean and returning it to its original requirements.
• NO TAPE may be used on any painted surfaces.
• Requestor will be held responsible for any damages to the facilities.
• Smoking is permitted only in designated areas.