USI logo
University of Southern Indiana
Directories
Contact
USI Home
google search
Scheduling Services
General Information
   Fees and Charges
   Food Services
   Smoking and Alcohol
   A/V Equipment
   Insurance
   Safety and Security
   Facility Usage
   Conflicts and Exceptions
Information on Rooms
Historic New Harmony
Conference Services
Reserve Meeting/Event Space

Event Request Form

Organization Name:
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
Will this event be open to off-campus guests? Yes    No
Will there be a charge for individuals to attend this event? Yes    No
Is your request a room change or an addition to a previously scheduled event? Yes    No
Comments:

Security Code: i49j6

   



USI Home | Academics | Calendar | Athletics | Visitors | Events and News | Administration

8600 University Boulevard - Evansville, IN 47712-3596 - 812/464-8600

Copyright © 2014 University of Southern Indiana. All rights reserved.