The Center for Multicultural Education

 

  
Reservation Request Application
 

Facilities must be reserved at least one week in advance. Each dated event requires separate request forms. There may be multiple requests on one form as long as the events are for the same date and same time. The CME staff, according to availability and information provided, makes room assignments.


Event Information


Date of the Event:

(e.g. October 30, 2005)

Day of the week:

Name of Dept/Organization:

Title of Function:

Contact Information Contact Person:

Director/Sponsor:

E-mail:

Telephone: Fax:

Additional Information

Describe Cultural Relevance, if any:

Set up Date and Time:

Event Start Time:

*Note: No Setups before 8:00 AM

Event End Time:

Time needed for breakdown:

Estimated Number in Attendance:

Equipment Information

*Your Request will not be processed without the information below completed.

**Note: Kitchen included with AB&Lobby but optional with others. If you desire the kitchen, please include it in the setup notes below.**

If requesting room A and/or B, Please check the item(s) desired and fill in quantity where applicable.(Room layout and equipment only applies to room(s) A & B)
Item(s) Requested Select Quantity
Chairs
Tables
Computer Speakers
Easels (Flip charts not provided)
Extention Cords
Projection Screens
LCD Projector
Television
VCR
DVD Player
Podium
Pillows/Blankets
Kitchen
Overhead Projector
CD Player/Stereo
Piano
Sound System/Microphone

< please include all set up or additional notes in the text box below >

By submitting this form, I agree that I have read a copy of the CME’s Reservation Policies and Procedures and agree to abide by them. As an authorized representative of the aforementioned organization, I agree to assume full responsibility for the cleanliness of the space used and for any damages that may occur. I also realize failure to comply with the CME Policy for Facility Usage may result in the loss of reservation privileges in the future.

  I agree to these terms and conditions.

 

 
Maintained by The Center for Multicultural Education
Last Modified: April 23, 2008