Campus Facilities Reservations Form

Contact Information

Phone Number: (Please include area code)

Organization's Information:

Name of the Person Signing the Lease:
Title of the Person Signing the Lease:
Name of Organization:
Address of Organization:
Type of Organization:

Event Information:

Name of Event or Meeting:
Event Date:
Beginning Time of Event: (Please include a.m. or p.m.)
Ending Time of Event: (Please include a.m. or p.m.)
Name of Preferred Building and Room, (if known):
Number of seats needed for Event or Meeting:
Event Setup Time: (Please include a.m. or p.m.)
(if needed)
Event Breakdown Time: (if needed)
(Please include a.m. or p.m.)

Room (or maybe Request) Requirements:


Please select ONE of the following Locations:

Equipment needed (please check all that apply):

Projector Sound System
Microphone HD DVD player

Special Requests:

Please describe any special request, include requests for tables, and other items. If you have a specific way in which you would like the items to be placed, please specify.

To avoid a false submission, type into the Text box: and then select the "Submit Form" Button.