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

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I have read and agree to the Privacy Policy.