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Reserve Meeting/Event Space

Event Request Form

Department or Organization Name:
Is the group reserving space a registered student organization? Yes    No
Is your request a room change or an addition to a previously scheduled event? Yes    No
Contact Person:

First Name

Last Name
Phone Number: Ex. 8124615420
Phone Extension:
Email Address:
Account Name:
Account Number: (Banner: xxxxx-xxxxx)
Account Type:
Event Name:
Date of Event: Ex. mm/dd/yyyy
Request Room and Building:
Alternate Site:
Pre-Access Time:
Event Start Time:
Event End Time:
Post-Access Time:
Number of Persons Expected:

Will there be a guest speaker at your event? Yes    No
Is this a diversity related event? Yes    No
Is this event open to the general public? Yes    No
Will there be a charge for individuals to attend this event? Yes    No
Would you like your event to be considered for inclusion on the USI web calendar? Yes    No

Security Code:
Enter the number/
letter combination
with no spaces.


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