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Students with Children
Planning an Event
Planning an Event

Space Request Form

Sponsoring organization/department
(if applicable)
Requested by Student Faculty Staff
Other (please specify)

Contact Information

Contact 1

Last name
First name
E-mail
Telephone

Contact 2

Last name
First name
E-mail
Telephone

Event Details

Event name
Event description
Event dates requested
Multiple dates? No Yes
Event start date
Event end date

 

Event start time a.m. p.m.
Event end time a.m. p.m.

Space

Do you already know what space you'd like to reserve? Yes No
First choice
Second choice

Access for Space Needed

Beginning at (for set up) a.m. p.m.
Ending at (for breakdown) a.m. p.m.

Attendance

Number of people expected

Questions/Comments