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Facilities Reservation Request
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Reservation form to request the use of CCRI space. For internal and external use.
Name of Person Requesting Event
Name of Dept. / Organization
Contact Phone Number
Role with CCRI
Role with CCRI
Faculty
Staff
Public
External Vendor Address
Title
A short description to explain the nature of a ticket.
Request to Use Facilties
Name of Event
Description of Event
Type of Room or Space Required for Event
Describe the space needed or provide the room number you wish to use for your event
Description of Floorplan or Setup for Event
Describe the possible floorplan or furniture setup needed for your event.
Event Floorplan Attachment
Possible event floorplan or markup of table/chairs/equipment for event
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Est. How Many in Attendance
Event Start Date
(mm/dd/yyyy)
Event Start Time
Event End Date
(mm/dd/yyyy)
Event End Time
Days of the Week Included
Select the days of the week your event falls on and enter the times your event runs on the selected days.
Days of the Week Included (required)
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday Event Time
Monday Event Time
Tuesday Event Time
Wednesday Event Time
Thursday Event Time
Friday Event Time
Saturday Event Time
Event Equipment Needed
Electric
Tables
Chairs
Screen
Easel
Mics
Podium
Computer
Computer Projection Device
Samsung Flip Digital Whiteboard
Other
Clear
Other Event Equipment
# of Computers
# of Mics
Mic Stand Types
Standing
Portable
Table
Clear
Priority
The relative importance of the ticket to the organization.
Low
Medium
Standard
High
Urgent
Other Fields
Your name
Your first name
Your last name
Your email address
Verification Code