1. Requester:
2. Department:
3. Phone: E-Mail:
4. Event title:
5. Requested Building: Room:
6. Expected group size:
7. Date(s) needed:
8. Start time: End time: 
9. Which best describes the purpose for which the classroom is needed? (Please select one)
Film screening   Meeting   Guest lecture   Other (describe) 
10. If classroom technology equipment is needed, please complete the Technology Equipment Request Form.
11. Brief description of event.