IREB Facilities Request Form

IREB Facility Request Form

Name

First Last

Phone

Room Usage Date(s)

Start Time

End Time

Event/Meeting Name

Purpose of Event/Meeting

Room(s) Requesting

Conference Room 131/133

Multipurpose Room 109

Demonstration Kitchen

Auditorium

Select all that apply*

Expected Number of Attendees

Room Setup

Audience

If Other Audience, Please Describe

Special Guests

Agenda/Itinerary for Office of the VP (if applicable)

Have you notified Public Safety as necessary?

Check all that apply

I understand that there is a “No Food Allowed” policy in the conference room and auditorium

Second ChoiceDO require the use of audio-visual equipment

will contact Computer Services to assist me with the A/V equipment.

Catering Information

Additional Notes

Security Code