Reserve a Room Request

For meetings and events ONLY, do not use for course scheduling

Last Name*	First Name*	ID # *

Telephone #*	E-mail*

Organization*
Faculty Moderator *

Name of Event*

Date of Event*
	month		day	year

Start Time of Event*				AM PM
	hour		minute

End Time of Event*				AM PM
	hour		minute

Building and Room# Requested	Number of Attendees

* required field