Life Sciences Room Reservation Requests

This form only services the following rooms:

I am requesting a room listed above

Event details

Contact information

Name

Department

Phone number

Event plans

Event title

Event type

One time event

Recurring event

One time event

Date

Start time

End time

Recurring event

Recurring event details

Please provide further details about this event.

Start time

End time

Start date

End date

Estimated guest count

In-room technology needs

Projector

Display screen

Video

Whiteboard

Preferred rooms

First choice

Second choice

Third choice

Other / notes