Request for Use

    When you wish to use the Resource Rooms, please make a request beforehand.
    Items with an asterisk (*) must be completed.

    Name*

    Email address*
    Notice: Please ensure that the email address you provide is correct; otherwise, we will not be able to respond.

    Telephone number

    Person associated with the university (student, faculty, staff, etc.)*
    Please Select one of the following:
    YesNo

    Status*
    Please Select one of the following:
    StudentFaculty/StaffPrivate Individual

    Time and date of use*
    Date (MM/DD/YYYY)
    / /

    Time*

    Resource Room you wish to use*

    Number of users*

    Any additional comments or questions

    After confirming the details of the center’s Privacy Policy, please indicate your consent by pressing the “Send” button.

    I have read and agree to the Privacy Policy.