Employee Lounge Locker Request Form
Please complete this form if you would like to reserve a locker in the MMDG 4th floor Employee Lounge.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Locker Number
*
NOTE: You must provide your own lock.
How long will you be reserving the locker?
School Year (September - June)
Until the next locker cleanout (Likely September 2026)
Fall Semester Only (September - January)
Other
Please note you must provide your own lock
Submit
Should be Empty: