Meeting Room & Special Event Request Form

General Information

1. Event Title *:
2. Organization/Department *:
3. Type of Event: Advising Banquet Camp Conference Campus Government Dance Lecture Meeting Performance Presentation Reception Rehearsal Speaker Student Org Event Student Org Meeting Test Training
4. Catering *: Yes No
5. Contact Person *:
6. Local/Campus Phone:
7. Email:

8. Organizations please fill in your advisor's information

   Name:

Meeting/Event Location

1. Building: University Center Esker Heide Hyer Hyland McCutchen McGraw Upham Winther
2. Room Preference 1:
3. Room Preference 2:
4. Room Preference 3:
5. Time needed to setup:

Dates Requested

Fill in the form to specify which date(s) you would like.

1. Date

2. * Setup time is additional time needed prior to the Event Start Time for preperation.

3. Event Start Time (11:00 AM)
4. Event End Time (2:30 PM)
5. Setup Time (1hr,1hr 15min)

6. Equipment needed

7. Computer
8. DVD Player
9. Easel # needed:
10. Head table to seat:
11. Floor Podium
12. LCD Projector
13. Phone Access
14. Portable Screen
15. Sign Holder # needed
16. United States Flag
17. VCR
18. Whiteboard # needed
19. Wisconsin Flag

20. For rooms in the UC see the interactive building map for room layout information

21. Room Setup Auditorium Conference Cabinet Meal Services Cabinet Classroom Chairs in Circle Room Clear 6' Round Tables U Shaped Cabinet User Specified Set Up
22. Attendance

23. Please use this area to indicate if your request is for multiple dates for the same vent or special resource requests.

24. Comments