BSRB Room Reservation Form


E-mail
Contact Person
Department
Other Department:
Campus Address
Campus Zip
Phone
FAX

Submit only one form per room request needed. If the event meets more than once a week at the same time each day, indicate the days on the same form. Events that meet at different times or irregular days require separate reservation forms. Reservations cannot be processed unless forms are completely filled out.
Begin time :
End time :
Person responsible/Instructor
Total number of participants
Room Availalble

Seminar Rooms: VHS or DVD requires a projectionist, please include proper form.

1130 (C)
1150 (B)
1170 (A)

Auditorium: A projectionist is required for equipment usage except for PA system and OVHD, please include proper form.

1020

   
Room and Building Preference 1st
2nd
3rd
If scheduling Multiple seminar rooms please indicate Divided
Open
Audience
If other, describe:
Purpose
If Other or Course, describe:

Day of Meeting (check all that apply):

Monday
Tuesday
Wednesday
Thursday
Friday

Please list date (month/day) in space provided below:

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