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Academic Space Reservation Request

Requestor's Name *

Student Organization (ONLY) *

Contact Phone *

Fax

ODU E-mail Address *

Street Address, City, State, Zip *

Co-Sponsor (if any)

Date(s) of Event *

Alternate Date(s) *

Event Name *

Start Time *

End Time *

Building(s) and Room(s) Requested *

(We will honor first choice room request when possible.)

Estimated Attendance *

(Please be as specific as possible.)

Type of Event: *

If "Other" was selected, please specify.

Is this event a fundraiser?: *
Yes
No
(If yes, a Fundraiser Approval Form is required.)

What media needs do you have? *

(Please place the number of equipment items needed next to each type of equipment. If no equipment is needed, please enter "None.")

Comments

By clicking submit below, I certify that I am familiar with the policies and procedures as listed at http://studentaffairs.odu.edu/osal/eventmanage/policiesprocedures.shtml for use of university facilities, that this event is consistent with the policies and procedures, that I accept the responsibility for compliance with same, and that my organization/department is responsible for any damages incurred in the facility at the time of the event.

NOTE: The entire form must be completed (use estimates as needed). This form is only a request, not a confirmation. All requests require two weeks to process. Please print this page for your records prior to clicking submit!

Note: * Indicates required information