Information about Event Sponsor

Name of person making space reservation request :

Email address:

Phone number:

Street address:

City:

State:

Zip:

Sponsoring department or organization:

Billing address (if different from above):

University index + account:

Advisor:

Information About Event

Event name (40 character limit) as it will appear on the calendar:

Event title (optional field) Allows you to expand upon the event name:

Event type (please click all the apply, hold control for multiple selections):

Other, please explain:

Event date:

1st choice date: *

2nd choice date:

Actual event start time (do not include set-up time):

Actual event end time (do not inlcude take-down time):

*

Setup start time:

Takedown time:

Will there be additional days for this event?   Yes No
If yes, number of additional days:

 Please list additional days and times:

Do you wish to publish event to:
Off Campus On Campus Only Both Do Not Publish

One paragraph description of event for master calendar (including ticket info and contact info):

Information About Space Required for Event

Estimated number of attendees (assists schedulers with selecting space with suitable capacity and parking facilities):

What percentage will be:

 UR students: UR faculty or staff: General public:

Do you have a preference for a specific space or building? Yes No

If so please indicate space or building here (optional field):

Set-up Requests:

Microphone?: Yes No
Number of chairs needed: Number of tables needed: 
AV needs:

Special requests/set-up directions (include all equipment needs, tables, chairs, AV equipment, etc.):

Other campus facilities: Yes No

If yes, please explain:

Information About Services Required for Event

NOTE: If the event requires any of the following services, it MUST be scheduled through the scheduling office and the organization must NOT contact the service provider directly.

Do you require food service: Yes No

Type of food services required (click all that apply, hold down control for multiple selections):

Who would you like to provide the food service? Dining hall Catering
Outside caterer Will do own

Will alcohol be served at the event? Yes No

Other Information About Event

Will there be an admission and/or registration charge? Yes No

If yes, please explain:

Additional comments and questions:

Please remember this is a request for a reservation. Filling out this form does not confirm your reservation