The online form is to be used by Internal University Departments for University business only. Other groups use contact info at left <--

Contact Name
Department/Faculty
Email Address
Contact Phone	Ext.
Fax
	Course Event
Event Name
Topic:
Speakers(s):
Any Video/Film shown?	Yes No
Open to public	Yes No
Will Refreshments be served? Food and beverages are not allowed in our classrooms; please contact us for alternate options.	Yes No
Admission to be charged?	Yes No
No Of Attendees Expected
Date(s) Required
Start Time(s) Required
End Times(s) Required
Facilities Required (Preferred Building(s) and Room(s))
Comment (such as special requirements or more information regarding event)

You will receive an email copy of this request after you submit it.

A separate confirmation will be sent from our office once your request has been processed, or we will contact you with any questions we might have regarding the request.

Indicates Fields are Mandatory