Room Request Form

Name:

Email:

Phone:

Room Needed: Kiefer (42) Room 214 - Special Collections Room 215 - Screening Room Room 224 - Small Computer Classroom Room 225 - Classroom Room 235 - Classroom Room 244 - Classroom

Date(s) Needed:

Time Needed:

For which class? (eg HST390) *required

Number of students:

Check here if you need a smart cart

Please provide details on your intended use of the room:

Thank you!