Campus Services Office
Box 5600, Ext. 5189
RESERVATION REQUEST
*This form is for facility reservations and room set-up only.
For reservations with multiple dates in the same location and at the same time
please
print out a paper form
and send it to campus box 5600.
*Field names in
this color
indicate a required field.
Monday, December 01, 2008
Date of event (please use the calendar button to choose a date)
Event title (as it is to appear on the Central calendar)
Building
Room
Size of Group
Want to know which rooms are available? Check it out
Performance or start time (hh:mm am/pm)
End Time (hh:mm am/pm)
What time should we: Setup (hh:mm am/pm)
Clean up (hh:mm am/pm)
Will your group be going through the Central Market food court for a meal?
yes
no
Time (if yes, hh:mm am/pm)
Will your group be using Central Dining Services for catering?
yes
no
It is your responsibility to contact Dining Services, ext. 5788, with your catering needs.
Audio/Visual equipment
microphone(s):
Lapel: Num
Corded: Num
Cordless: Num
none
speaker phone (digital)
computer phone line (analog)
overhead projector
screen
TV/VCR
Additional equipment
flip chart
-$5 charge for flip chart
Budget Number: no dashes (if flip chart selected)
podium
none
staging
piano
Fazioli piano
(Douwstra only; Must be approved by C. Breckenridge)
LCD
laptop computer
Dry Erase Board
(LCD and/or laptop computers must be reserved through computing services ext. 5289. You are responsible for reserving, pick up and return of equipment. Computing services hours are M-F, 8 am - 5 pm)
Other
Description (if Other selected)
Room setup (click
to see examples of setups marked with an *)
Banquet
* Block
* Board Room
* Circle of Chairs
* Classroom
* Crescent Rounds
* Double Herringbone
* Herringbone/Chevron
Reception - no tables or chairs
Round
* Theatre
* U-Shaped
Other
Description (if Other selected as Room Setup)
Do you want your event on:
calendar.central.edu (public)
my.central.edu (private)
Both
Neither
Description for public events calendar (if yes, Limited to 300 characters)
Price of the event (100 characters max)
Complete URL to a page with more information about the event (Ex: http://www.central.edu/)
Organization using facility
Email
Individual requesting facility
Phone
Box