Classroom Reservation Request

Instructions

This form is used to request rooms only. Please fill out the "Classroom Request Form" below to request a room. If you need to request AV equipment or additional tables, chairs, etc., please see the appropriate department as noted under "Other Requests."

Please complete one form for each room request and/or date request. In order to provide service excellence and ensure scheduling accuracy, all room requests must be submitted at least 72 hours in advance of actual date needed. Confirmation notice will be sent via email. Request only class size needed.

Every attempt is made to honor preferred date, time, and room location requests. However, we ask that all requests are received in a timely manner as noted specifically for each semester. All other requests for room availability must be submitted within a minimum of 72 hours prior to the actual date needed. Adhering to the established process will help to secure your reservation.

Requestor Information

* first name
* last name
* telephone number
* department
* email address
confirmation e-mail address (if different from above)

Course Information

* group name	Example: MS1, MS2, PA, etc. If no group, enter "n/a"
* course name
* course number
* total number of students
* course dates [mm/dd/yyyy]	start date   end date
* time requested [h:mm am/pm]	start time end time
* day(s) of week	Sunday Monday Tuesday Wednesday Thursday Friday Saturday
* specific room / building requested	- - select room - - 2175 K St: 709 [10] (10 am - 6 pm) 2175 K St: 7011 [28] 2175 K St: 7031 [12] Himmelfarb: 202 [25] Himmelfarb: 203C [8] Himmelfarb: 203G [8] Himmelfarb: 304C [5] Himmelfarb: 304I [5] Himmelfarb: 305H [15] Himmelfarb: T1 [12] Himmelfarb: T2 [6] Himmelfarb: T3 [6] Himmelfarb: T4 [6] Himmelfarb: Women's Board Teaching Classroom [18] Hospital: 6106 [12] Hospital: 6108 [10] Hospital: 6111 [15] Hospital: 6116 [50] Hospital: 6117 [50] Hospital: 6118 [15] Hospital: 6121 [24] Ross: 101 [299] Ross: 104 [25] Ross: 105 [37] Ross: 108 [20] Ross: 109 [48] Ross: 114 [21] Ross: 115 [24] Ross: 116 [40] Ross: 116A [30] Ross: 117 [174] Ross: 201 [165] Ross: 201 Lab [124] Ross: 224 [40] Ross: 227 [100] Ross: 229 [55] Ross: 2nd Floor Lounge [25] Ross: 302A [18] Ross: 303 [16] Ross: 323 [10] Ross: 401 Physiology Conf. Room [20] (after 4pm) Ross: 529 Biochemistry Conf. Room [20] (after 4 pm) Ross: 561 Pathology Conf. Room [15] (after 4 pm) Ross: 643 Pharmacology Conf. Room [38] (after 4 pm) Ross: 737 Microbiology Conf. Room [20] (after 4 pm) Ross: Lobby A [16] Ross: Lobby B [16] Building: Room Number [capacity] (time restrictions)
comments Please include equipment requests here