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Internal Room Reservation Form
Event Name
*
Description of Event
*
Event Type
Select Event Type...
Banquet
Concert
Conference
CE Class
Dance
Exhibit
Film/Movie
Interview
Lecture
Meeting
Orientation
Performance
Reception
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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
*
Select a Campus..
Charlotte
Collier
Hendry/Glades
Lee
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
