ITS Center > Reservation Request Form

Required items are marked with an asterisk (*).

I. Requester Information

First & Last Name*:
Status*:
Department*:
Phone Number*:
Email Address*:

II. Event Information

Event Title*:
Group/Organization*:
Event Type*:
If other, please describe:
Space*:
Requested Date and Time (MM/DD/YYYY):
First choice date*: select   Start time: End time:
Second choice date*: select   Start time: End time:
Anticipated Attendance*:
Open to Public*: Yes No
Serving Food*: Yes No
All garbage must be brought to the dumpster outside of the ITS Center before staff in charge of the program leaves the Center.
Resources: Laptop
Projector
Projector Screen
TV with VHS & DVD capabilities

III. Event Description

Briefly describe what the event is, and how it is appropriate for the ITS Center:

Please submit this form no later than two weeks prior to your requested reservation date. You will be contacted within two business days to discuss the details of your event and confirm reservation. Please inform the building manager of any changes in your request or cancellations as soon as possible in order to allow us to offer your space and time to others.

Please note: All requests are subject to approval by the ITS Team; completion of this form does not guarantee a reservation. You may e-mail Sujita at any time to request a status update on your request.

Sujita Gyawaly
Phone: 631-632-4745
Email: sgyawaly@notes.cc.sunysb.edu

BEFORE SUBMITTING: Print this form for your records.

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