Instructional
Technology Center
Room Usage Agreement
I understand that by not honoring the Instructional Technology Center
Room Usage Agreement, I may be relinquishing future use of these rooms.
|
Check the boxes below to indicate that you agree to
the following:
The configuration of furniture will be
returned to original ITC room configuration.
All food and refuse will
be removed from the room(s) before I vacate.
I will secure doors (close and lock) when I vacate the room(s).
|
|
|
| Department |
|
| Contact
Person |
|
| Contact
Phone Number |
|
| Contact
Email Address |
|
| Name
of Person using space (If different than contact person) |
|
| Phone
Number and email address (If different than contact person) |
|
| Organization,
Group name, etc using space (If different than Department above) |
|
|
Is a conference table setting desired? |
|
| Event
Name |
|
| Purpose
of Event |
|
| Date
and Time of Event |
|
| Expected
Number of Participants |
|
| Technology Requirements |
|
| Will you and/or the presenter need internet
access? |
Yes
No
|
| Is
there a specific software application that will be used? |
|
Do you need software installed?
(If yes, we must receive
the software and a copy of the license at least a week before the event
so that we can install and test the software.)
|
|
| Will
you need any of the following? Slide Projector,
LCD Projector, Overhead Projector, VCR ,Document Camera, Laptop connection,
Flip Chart, White Board
|
|
Do you require technical support for
the duration of your event?
|
|
Will food be served at this event?
If YES Who will be providing Catering?
If food and/or
beverages will be served, you are responsible for the arrangement of
delivery, removal and cleanup. Sodexho or Wits End pickup from ITC rooms
must be no later than 4:45pm Monday - Thursday; and no later than 4:00pm
on Fridays. |
Yes
No
|
| |
|
|
Thank
you. We will respond to this request shortly. |
