Room Request Form

Multiple Room & Date Request Form

Back to Request Info Page

Single Room Request Form | Multiple Room Request Form | Large Event Requests

***Please remember this is a request for a reservation.
Completion of this form does not confirm your reservation.***

Name of Event:
(Examples: Math 110 Review; AITP Meeting; Acct 201 Exam)

Event Type: Review Session Meeting Exam Other:

Head Count: (Numeric)

For multiple dates with the same time, list dates and time here:

Dates: Time:
(Example: Sept. 8, Oct. 10, Nov. 12 from 4-6pm)

If dates and/or times differ, use the following:

Reservation One:

Date:

Day:   Mon   Tues   Wed   Thurs   Fri   Sat   Sun

Time: from to

Building and Room Preference:
                                                      (Building)                   (Room)

Comments:

Reservation Two:

Date:

Day:   Mon   Tues   Wed   Thurs   Fri   Sat   Sun

Time: from to

Building and Room Preference:
                                                      (Building)                   (Room)

Comments:

Reservation Three:

Date:

Day:   Mon   Tues   Wed   Thurs   Fri   Sat   Sun

Time: from to

Building and Room Preference:
                                                      (Building)                   (Room)

Comments:

Type of Room: Classroom Large Lecture Computer Lab

Room Features: Check those that apply

Movable Seating (tab/arm desks)
Tables and Chairs
Fixed Seating (lecture style)
Video Data Projector
Resident Computer
DVD
Other:

Additional Comments:

Contact Information:

Requestor Name:

Department or Organization:

E-Mail:

Telephone:

If you are making this request on behalf of a faculty member, please provide
their name:

Student Requestors must fill out the following University Advisor/ Sponsor Information:

Advisor Name:

Advisor E-Mail:

Advisor Telephone:

Note: Reservations for student organizations are made in the name of the faculty advisor responsible for the group.

Notes:

Requests for nonacademic classrooms should be directed to
Conferences and Reservations, 836-3882.
Requests for McPhee should be directed to Kinesiology and Athletics, 836-2546.
Requests for McIntyre Library should be directed to 836-3858.
Please read the Room Reservations Policies.

***Please remember this is a request for a reservation.
Completion of this form does not confirm your reservation.***

If you have questions regarding a room reservation, contact Carrie Butler Becker (beckercb@uwec.edu) in the Registrar's Office, 836-2940.

UW-Eau Claire Registrar's Office
105 Garfield Avenue, Schofield Hall 128
Eau Claire, WI 54701
(715) 836-5912

Updated: January 09, 2007