Room Reservation Form

* Information in these fields is required

Date of Event *

Name of Event *

Starting time (including set-up): *

Ending time (including clean-up): *

Actual event time:

Department/Office:

Cost Center/Fund

Contact Person: *

Name of Responsible Person (if different from Contact):

Email: *

Phone: *

Room Choice: *

Classroom—JCK 460 (seats 45 with tables)

Conference room—JCK 412 (seats 8)

Conference room—JCK 465 (seats 10)

Food or beverage:

Yes

I agree to the above guidelines and agree to notify the Office of Professional Development (245-7899 or 245-2283) as soon as possible concerning any changes to the reservation(s) as requested.