Internal UACCB Request Form

Faculty/Staff Room Request Form for College Functions

Event Title / Description *

Event Date(s) *

Reservation Beginning Time (This includes time needed for setup) *

Event / Meeting Actual START Time *

Reservation End Time (Please include time needed for takedown and clean-up) *

Location(s) Requested *

Expected Number of Attendees *

Will food be served / catered? (Yes or No. If Yes, please list caterer/provider.)
[NOTE: We are under contract with Pepsi and must serve Pepsi beverages at college functions, including bottled water. Coffee and tea are exceptions.] *

Requested Setup / Technology Needs / Additional Requirements / Helpful Info for Setup or Needs

Sponsor Information

Division (Please select your Division - Department) *

Contact Person *

Email *

Extension # *

If you are human, leave this field blank.

NOTE: Due to some areas, like the Banquet Halls and Auditorium, being used for classroom space in Spring ’21, these areas are available on only a limited basis for other functions. Contact the Director of Events first if you need these spaces.

Internal UACCB Request Form

Faculty/Staff Room Request Form for College Functions

Sponsor Information

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