Multiple Room & Date Request Form

University of Wisconsin - Eau Claire

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:


       
(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 Diane Stegner Roadt at roadtds@uwec.edu in the Registrar's Office..


UW-Eau Claire | Admissions | Financial Aid | Business Office | Continuing Education | Advising

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

Updated: August 9, 2011