Annenberg 12th & 13th Floor Room Reservation Form

Annenberg 12th & 13th Floor Room Reservation Form
Room Booking Guidelines:
- All Rooms on Annenberg 12th and 13th floors are available for booking*, but Icahn School of Medicine programming takes precedence over all other space needs for classroom and meeting rooms. All room reservations are subject to change or cancellation if an academic need arises within Medical Education.
  - *The 13th-floor labs will be unavailable to departments outside the Graduate School, Medical Education, and their respective programs until further notice. If a Lab Room is required, please request 12th Floor Labs ONLY.
- Room Availability: To check room availability, please visit this site.
- Advance Notice: All room requests must be submitted at least 24 hours before the event, excluding weekends and holidays. For Monday bookings, requests must be submitted by the prior Friday.
- Room Management: Annenberg 12th and 13th floor room reservations are handled by the Curricular Affairs Operations Team (CAOT). Please plan ahead, especially during holiday periods, as delays may occur.
- Shared Space: These spaces are shared by multiple departments, so your request may not always be fulfilled exactly as submitted. Planning ahead is essential.
Event Contact Information
Requester Name*

First NameLast Name
Requester Phone Number*
Please enter a valid phone number.
Requester Email Address*
example@example.com
Requester Sponsoring Department*
Event Name*
Recurring Event (Please note that rooms can only be reserved three months in advance).*

YesNo
Date Needed*

MonthDayYear
Date
Start Time (EST)*

Hour Minutes

AM/PM Option
End Time (EST)*

Hour Minutes

AM/PM Option
Recurrence type*

DailyWeeklyBiweeklyMonthly
Daily Recurrence Length*
Recurrence Dates*
Recurrence details
Weekly Recurrence Length
Biweekly Recurrence Length
Monthly Recurrence Length

Repeat onceRepeat twice
DailyrecurrenceTXT
Total Number of Attendees*
Room List*

Lecture Hall A12-01 / A13-01 - Max Occupancy 150 eachLab Rooms A12-60 / A12-62 - Max Occupancy 65 each (No Food Allowed)Lab Rooms A13-10, A13-12, A13-14, A13-16 - Max Occupancy 35 (No Food Allowed)Small group rooms on the 12th or 13th floor (10 rooms on each floor) Max Occupancy 14-16 per roomAnatomy Lab A12-98 (Requires special approval- See Lab Usage Policy below)
Lab Usage Policy:
1. Absolutely NO food or drinks are allowed in lab spaces (13-10, 13-12, 13-14, 13-16, 12-60, 12-62, or 12-98) due to safety concerns.
2. ALL Lab-Based Sessions: Notify Jennifer Cameron, Lab and Learning Environment Manager at Jennifer.Cameron@mssm.edu at least two week prior to the session and include details about instruments or materials being used.
3. Use of any human material must be pre-approved by Jennifer Cameron.
4. Use of the Anatomy Lab A12-98 must be pre-approved by Jennifer Cameron.
5. If you are using specimens, you must arrange for proper clean-up after your session through Building Services at marisol.nieves2@mountsinai.org
6. The 13th-floor labs will be unavailable to departments outside the Graduate School, Medical Education, and their respective programs until further notice. If a Lab Room is required, please request 12th Floor Labs ONLY.
Number of rooms needed*
Will you be using specimens?*

YesNo
Do your specimens involve human material?*

YesNo
Specimen usage*

HeartKidneyEyesBrainCadaverOther
Will food be provided for this event?*

YesNo
If you plan to have a catered event in our auditoriums or small group rooms, please ensure that all food is cleared from the area and the space is clean.

Arrangements can be made with Building Services through Josue.vargas@mountsinai.org to dispose of your trash/clean up the space if necessary.

We have the right to restrict access for those who do not clean up after themselves.
Special Instructions & Additional Details
Policies and Etiquette for Space Usage:
Failure to adhere to these policies may result in denial of future booking requests.
1. Session End Times: Events must conclude by the scheduled end time. These are shared spaces, and other users may have reservations immediately after you.
2. Cancellations: If you no longer need the space, please reach out to Ocsroomreservations@mssm.edu to cancel your booking promptly.
3. Room Clean-Up: Leave the room in its original condition (e.g., dispose of trash, return furniture to its original layout). If needed, you can arrange for clean-up services through Building Services to Marisol Nieves at marisol.nieves2@mountsinai.org.
4. Technology Use: Do not unplug or modify any electronics in the room.
5. AV Support: AV support is not provided for reservations. Please coordinate any AV needs with Multimedia Services.
6. Lab Usage:
  1. Food and Drink: Absolutely NO food or drink is allowed in lab spaces (13-10, 13-12, 13-14, 13-16, 12-60, 12-62, or 12-98) due to safety concerns.
  2. All Lab-Based Sessions: Notify Jennifer Cameron, Lab and Learning Environment Manager at Jennifer.Cameron@mssm.edu at least two week prior to the session and include details about instruments or materials being used.
  3. Use of any human cadaveric material must be pre-approved.
  4. Use of the Anatomy Lab A12-98 must be pre-approved by Jennifer Cameron.
  5. If you are using specimens, you must arrange for proper clean-up after your session through Building Services at marisol.nieves2@mountsinai.org.
Sign below to acknowledge your agreement to abide by the Policies and Etiquette for space usage above:*

Clear
Should be Empty:

Annenberg 12th & 13th Floor Room Reservation Form

Room Booking Guidelines:

Event Contact Information