Nursing event/meeting space request form
Please submit this form no later that 24 hours before the requested event time(s).
Room(s) requested:
Date(s) and start/end time(s) requested:
Event title(s) and description(s):
Group/department name:
Point of contact:
*
Email
*
example@example.com
Number of people attending event(s):
Additional accomodation request(s):
Community Space Agreement: By submitting this request, I recognize that I am requesting the use of a public space and agree to leave the space in a clean and sanitary manner, and to return all equipment and furniture to the manner in which it was originally found.
Agree
Please verify that you are human
*
Name
*
First Name
Last Name
Signature
Submit
Should be Empty: