Reservation Request Form

Name of Contact Person

Department
Aerospace Engineering Biomedical Engineering Chemical Engineering Civil Engineering Dean's Staff Electrical and Computer Engineering Mechanical Engineering Petroleum and Geosystems Other (explain below in brief description)

Contact's phone number

Contact's e-mail

IDT Account Number

Room Requested

• Large Conference Room (Table=18; Total Capacity=41)
• Small Conference Room (Table=10; Total Capacity=22)
• Faculty Lounge (Table=10; Total Capacity=19)

Event Title

Event Date

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2006 2007 2008 2009

Actual Event Time
From a.m. p.m.  to  a.m.  p.m.

15 minutes preparation time and 15 minutes clean-up time will automatically be added to your event, please do NOT include. If you require additional time, please indicate so in the comments.

Estimated number of participants

If you selected the Large Conference Room, do you need to use the E-Podium?
Yes  No

For other equipment needs (blackboard, dry erase board) or for multi-media setup in the Small Conference Room and Faculty Lounge, please contact 471-1166.

Brief description of event

Comments

Please report, immediately, any problems or damage to our property to ECJ 10th Floor Reception Desk, 471-1166.

By pressing the Submit button, I agree to abide by the above policies governing the Dean's Conference Rooms.