Meeting Room Request Form

Please select a room appropriate for your event, as we cannot accommodate set-up or technology requests. Thank you!

Preferred room:

Full name: *

Department (if applicable):

Telephone: *

EKU Email: *

Course Name/Number or Event Title or Student Group: *

Number of attendees:

Preferred date (First choice): *

Preferred date (Second choice):

Time beginning (please consider any time you might need for set-up): *

:

am

pm

Time beginning (please consider any time you might need for set-up)

Time ending (please consider any time you might need for clean-up): *

:

am

pm

Time ending (please consider any time you might need for clean-up)

Brief description of room use: *

Are you showing a film?: *

Yes

No

Additional Comments:

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