Heritage Room Reservation Request Form
Name of Event:
*
Type of Event:
*
Walk Through (in this case the room will not be closed to students)
Reception
Lecture/Presentation/Workshop
Lunch/Dinner
Date Requested
*
-
Month
-
Day
Year
If repeating event, please list additional dates here:
Actual Start Time (we will add one hour prior to and after for setup/cleanup):
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Approx. End Time (we will add one hour prior to and after for setup/cleanup):
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Catered Event?
*
Yes
No
Campus Sponsor (Department):
*
Requester Name:
*
Requester Phone:
*
Requester Email:
*
Number of Anticipated Guests:
*
Request Balcony Opened?
*
Yes
No
Additional notes about your event:
Admin Fields
Melissa Crotti's Approval
Yes
No
Michael Knies’s Approval
Yes
No
Dean’s Approval
Yes
No
Requestor Notified
Yes
No
Entered on Calendar
Yes
No
Heritage Room Signs Sent to Library Services
Yes
No
Request Copy Sent to Melissa Crotti
Yes
No
Submit
Should be Empty: