College of Nursing
Room Request
* Indicates required field.
EVENT Information
Meaningful Name of Event
*
Setup Time
Choose minutes.
00
05
10
15
20
25
30
35
40
45
50
55
Choose AM or PM
AM
PM
*
Event Begins
Choose hour.
01:
02:
03:
04:
05:
06:
07:
08:
09:
10:
11:
12:
Choose minutes.
00
05
10
15
20
25
30
35
40
45
50
55
Choose AM or PM
AM
PM
*
Event Ends
Choose hour.
01:
02:
03:
04:
05:
06:
07:
08:
09:
10:
11:
12:
Choose minutes.
00
05
10
15
20
25
30
35
40
45
50
55
Choose AM or PM
AM
PM
*
Takedown Time
Choose minutes.
00
05
10
15
20
25
30
35
40
45
50
55
Choose AM or PM
AM
PM
*
Event Date
* mm/dd/yy
Room Preference
Room Number (Seating Capacity)
Auditorium (240)
101 (80)
105 (55)
106 (55)
271 (10)
281 (21)
282 (21)
283 (21)
284 (21)
285 (15)
286 (45)
287 (20)
288 (21)
431 (67)
432 (67)
*
Number of Attendants
(approximately)
*
Number of Rooms Needed
(if more than one)
CONTACT Information
Name
*
E-mail
*
Phone
REPEAT Information
Event does
NOT
repeat
Event repeats
Choose one.
every
every other
every third
every forth
Choose one.
day
week
month
year
Mon, Wed, Fri
Tues, Thurs
Sat, Sun
Mon, Tues, Wed, Thurs, Fri
Event repeats
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first
second
third
fourth
last
Choose one.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
of
Choose one.
each month
every other month
each quarter
the month, each year
*
Event repeats until
mm/dd/yy
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