KNOBLAUCH KITCHEN RESERVATION
Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
Department, College or Organization
*
Name of Advisor
*
Classification
*
Faculty
Staff
Teaching Assistant
Graduate Student
Undergraduate Student
Academic Department
Administrative Office
Student Group
Visitor
Other
Reason for Usage
*
Meeting
Seminar
Workshop
Conference
Presentation
Equipment Training
Student Group Meeting
Other
Date
*
-
Month
-
Day
Year
Date
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
End Time
*
Hour Minutes
AM
PM
AM/PM Option
Name of Event
*
Is this a recurring event?
*
Yes
No
Anticipated Event Attendance
*
Do you have Food Certification License?
*
Yes
No
Will you need the use of the Corporate Dining Room
*
Yes
No
Additional Services Requested
Guidelines and Instructions
1. You must have a faculty or employee with you in the kitchen at all times due to liability issues. 2. You must have someone who has the ServeSafe Certification while in the kitchen. 3. You are responsible for purchasing all ingredients. 4. You are responsible for cleaning the kitchen and dining space, if used. 5. Failure to comply with the above Guidelines and Instructions may result in loss of use and a fee assessed in an amount between $100.00 - $500.00.
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