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Extension Organization Room Reservation

Extension Organizations Room Reservation Requests

Meeting Rooms reservation request

Organization / Group Name
Event Name
Event Purpose
Date(s) (use MM/DD/YYYY format)
SET UP Time (If not needed, enter Meeting Start Time)

: Hours

Minutes

AM/PM
Meeting Start Time

: Hours

Minutes

AM/PM
Meeting End Time

: Hours

Minutes

AM/PM
Additional Event Schedule Information
Room Preference*
Expected Number of Attendees
Name
First Last
Email
Phone
Consent*
I agree to the following:
*Wipe down all kitchen counters
*Wash & Dry and put away all dishes
*Straighten up tables and chairs
*Follow Audio / Video instruction manual
*Place soiled hand towels in basket under handwashing sink
*Turn off lights when leaving
*Relock any doors that were unlocked by your group
*Ensure restrooms are in order
**Note**All meeting rooms have video surveillance

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