Add Reservation

Facility Use Request Form

PLEASE NOTE: Conference rooms for meetings can be booked through a Department Secretary - This form is for EVENTS ONLY

BEFORE YOU BEGIN

Would you like to search for available locations for a specific date and time? If so Click Here.

APPLICANT INFO

MY PREVIOUS REQUESTS REPORT A PROBLEM

Organization Name *

Organization Type *

Organization Contact *


First Name	Last Name

Phone *

	-		-
(###)		###		####

Email *

Organization Address *


Street Address 1


Street Address 2


City	State	Zip Code

EVENT DETAILS

Activity Title *

Activity Description *

Website Link (Optional)

# Of People Expected To Attend Event *

This Event Is Intended For *

Location *

Help - Location Details

Location Template Setup

Help

To Enter More Locations Click Here

Date *


Month		Day		Year

Help

Activity Begins *

	:
Hour		Min		AM/PM

Activity Ends *

	:
Hour		Min		AM/PM

To Enter More Dates And Times Click Here

SIGN LANGUAGE INTERPRETER

Sign Language Interpreter Needed

SETUP REQUESTED

Catering Requested/Amount of Guest

Microphones

Common Media Usage Requests

Powerpoint Setup

Powerpoint Setup With Audio

Panel Discussion

Play Music (Audio)

Audience Q&A

Movie Screening

Other Media (specify in Special Requests)

Special Requests

Signature *

By typing your name, you certify that you are an authorized representative of the organization listed in this form.

PROOF OF INSURANCE LIABILITY COVERAGE FOR ACTIVITY AND PAYMENT IN FULL REQUIRED NOT LATER THAN TWO WEEKS BEFORE EVENT TO CONFIRM EVENT.

MY PREVIOUS REQUESTS REPORT A PROBLEM

Click the button above to open the confirmation page. Users must confirm their entries on the confirmation page to submit their request to our office

PLEASE NOTE: Completion of this form does not reserve the space requested. Please await confirmation by an event coordinator prior to announcing events.