Requestor First Name * Last Name * Job Role * - Select -FacultyPostdoctoral ResearcherGraduate StudentUndergraduate StudentStaffOther... Job Role Other... Phone * Email * Department / Program * Room Request Date Requested * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year201820192020 Start Time * Hour Hour123456789101112 : Minute Minute00153045 am pm Include time to set up End Time * Hour Hour123456789101112 : Minute Minute00153045 am pm Include time to clean up Location * 1601 Elings Hall 1605 Elings Hall 3001 Elings Hall 3250 Elings Hall 1st Floor Lobby / Hallway Any Room Event Details Event Name * Nature of Meeting * i.e. seminar, vendor meeting, interviews. Note: Class and repeating meetings are not permitted in the facilities. Will There Be Food, Beverage or Catering at Your Meeting? * Yes No Additional Comments or Room Needs i.e. tables, polycom telephone, video cart.