external individuals or groups facility reservation Request Form

First and Last Name:
Organization:
Mailing Address:
Phone:
Email:
Type of Event:
Summary and the purpose or scope of the event (event type, event purpose, intended audience, etc.).
Date of the Event:
Start Time:
End Time:
Preferred Campus Location:
How many people are you anticipating to participate in this event?:
Will you need Audio/Visual (A/V) equipment?:
Will this event be catered?:
Special Notes and Other Requests:

PLEASE NOTE: All requests are subject to approval. Completion of this form does not guarantee a reservation.