Internal Room Reservation Form | Florida SouthWestern State College

Event Name *
Description of Event *	Event Type	Is this related to an academic course? If yes, indicate course CRN:
Requestor Information
Organization (Department) *	Requestor's Name *	Email Address *	Telephone Number
Are you reserving this space on behalf of an external organization? Yes No		If yes, organization name:
Event Date & Time
Event Date *	Start Time *	End Time *	Setup time needed
Takedown Time Needed	Does this event repeat? Yes No	If yes, please list dates or meeting pattern:
Location
Campus *	Preferred Room	Estimated Attendance *
Is a polycom video connection required? Yes No	If so, which campuses will connect? Charlotte \| Preferred Room: Est. Attendance: Collier \| Preferred Room: Est. Attendance: Hendry/Glades \| Preferred Room: Est. Attendance: Lee \| Preferred Room: Est. Attendance:
Resources
Please describe any setup requirements, such as table arrangement, security, etc...
Please describe any audiovisual needs, such as setting up for presentation, sound system, etc...
Food/Beverage to be served? * Yes No

Requestor Information