Heritage Room Reservation Request Form

Heritage Room Reservation Request Form
Name of Event: *
Type of Event: *
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): *

: Hour Minutes AM/PM Option
Approx. End Time (we will add one hour prior to and after for setup/cleanup): *

: Hour Minutes 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
Dean's Approval

Yes No
Michael Knies’s Approval

Yes No
Jean Lenville’s Approval

Yes No
Requestor Notified

Yes No
Entered on Calendar

Yes No
Heritage Room Signs Sent to Circ.

Yes No
Request Copy Sent to Pat Savitts

Yes No
Should be Empty:

Admin Fields