Room Reservation and Facilities Request Form
This service is available to
Polytechnic University faculty and staff ONLY.
We suggest you
keep a copy of this form
for your records.
A. General Information - Required (Fill in Entirely)
Event Name and Description:
Date Of Event:
/
/
Setup duration prior to start:
----none----
30 minutes
1 hour
2 hours
4 hours
EXACT
Time of Event:
am
pm
End Time of Event:
am
pm
Post event cleanup duration:
----none----
30 minutes
1 hour
2 hours
4 hours
Number of Attendees:
Room requested:
----none----
Auditorium(348)
LC 400(75)
LC 433(30)
Silleck Lounge(100)
Note: Reserve the auditorium to reserve the foyer.
Contact Person:
Extension:
Department:
Student organization
Admissions related activity
B. Facilities - x3020
No Facilities Set-Up Required.
Number of Chairs:
Number of Tables:
Portable Blackboard :
Other:
Seating Arrangement:
Square
U-Shape
Classroom
LC433 - 18 Seats Max
LC400 - 35 Seats Max
Silleck Lounge - 25 Seats Max
LC433 - 14 Seats Max
LC400 - 31 Seats Max
Silleck Lounge - 20 Seats Max
LC433 - 25 Seats Max
LC400 - 85 Seats Max
Silleck Lounge - 30 Seats Max
Restaurant Style
Rectangular
LC433 - Not Available
LC400 - 95 Seats Max
Silleck Lounge - 90 Seats Max
LC433 - 20 Seats Max
LC400 - 30 Seats Max
Silleck Lounge - 20 Seats Max
Other:
C. Media Support - x3934
No Media Support Set-Up Required.
Podium
Event Recording
Podium with microphone
TV/VCR
Overhead Projector
Video Projector System
Screen
Slide Projector
Other
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