First Year Seminar

Event/Room Request Form

Name *

Email *

(Use format xxx@xxx.xxx)

Phone *

(Use format nnn-nnn-nnnn)

UNIV Section number *

(Use format UNIVXXX-XXX)

Date of Event *

Date of Event (Use format mm/dd/yyyy)

Start time *

Start time of event

End time

End time of event

Numbery of people attending *

Number of people attending event

Room Set-up

Please specify room set-up needs and A/V needs.

Event Purpose

Class List (Names and ID Numbers)

Additional Comments

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