Facility Request Form
(Staff and Administration Events)
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This form is to be used to request rooms for faculty and staff events. Please return this form to the Scheduling Office (ext. 1385, fax #4371). All fields highlighted in red must be filled out, or the form will not be accepted.

This form should be completed at least...

 

Name: Today's Date:

E-mail: Campus Phone Number:

Department/Organization:

Space Request:

Size of Group: Space Requested:

First Date:  Month    Day    Year   

Start Time: AM PM     End Time: AM  PM

Additional Dates

Decorating, ETC. Time (Service departments will allow time for set-up):

Brief Description of Event:

Set-up Request:

Chairs (#: ) Other Equipment (podium, etc.):

Tables (#: )

Arrangement: (Note: Some rooms have standard set-ups)

Class Room (individual chairs/desks in rows facing front) Banquet (chairs around tables)
Seminar Style (u-shaped) Conference (long tables with chairs surrounding)
Theater Style (chairs, no desks) Special
Food Service:

Do you require Food Service?   Yes    No

Account Number: Linen/Table Cloths Paper Supplies China

Service Desired:
Coffee Break Luncheon
Continental Breakfast Dinner
Reception Faculty Line
Student Line Other
Service Style:
Place Settings Only Served
Buffet Pre-Set

(The Food Service Department will contact you to discuss menu specifics. If you have not received a call 8 working days before the event, please call the Catering Manager at ext. 5820.)
Media Equipment:

Do you require Media Equipment?  Yes No

1/2" VCR Data/Video Projector Laser Disc Player Slide Projector
16 mm Film Projector Laptop Computer Overhead Projector Video Projector
Camcorder Filmstrip Portable Screen Tape Recorder
Sound System**

(** You will be contacted by Media Services to discuss specifics)

Note any equipment that is not listed above:

Parking:
How many cars will be coming from off-campus for this meeting?:
Other Services: (Please call the following if you need any of these services.)
  • Floral and Plant Decorations
    Pat Root x5923 (10 working days in advance)
  • Programs, Invitations, Brochures
    Communications x5937 (4 weeks in advance)
  • Publicity
    Linda Olson x5930 (3 weeks in advance)
Comments or Questions?

 

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