Room Reservation Request Form

Room Reservation Request Form

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.

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.