Room Reservation Form

Date of Request
Group Contact Person
Day Phone Number
Evening Phone Number
Name of Group/Organization
Purpose of Gathering
Approximate Size of Group
Room Requested Smart Classroom TV Lounge/Conference  Relaxation/Wellness     
Date(s) Requested
Time Requested     a.m.   p.m.
If the requesting group is meeting other than normal office hours (M-F 8:00 a.m. - 4:30 p.m.) approval is dependent on availability of staff coverage for access to the building.