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 and Building Preference 1st
2nd
3rd
Audience
If other, describe:
Purpose
If Other or Course, describe:

Day of Meeting (check all that apply):

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

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

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