You must have JavaScript enabled to use this form. 1. REQUESTOR INFORMATION Requestor(required)* E-Mail(required)* Phone(required)* Address(required)* IC(required)* Group/Division(required)* 2. EVENT INFORMATION Event Title Facillitator/Instructor Total Participants Date Event Start Time Event End Time Does this event occur repeatedly at the same time each day? Yes No RECURRING EVENT DATE/TIME Date From Date To Start Time End Time Do you need to reserve a room for additional dates? (Limit 5 per form) Yes No ADDITIONAL DATES 2. Event Date Start Time End Time 3. Event Date Start Time End Time 4. Event Date Start Time End Time 5. Event Date Start Time End Time 3. CLASSROOM LOGISTICS Classroom Logistics Instructions Tell us which classroom you want to rent. Select 1 for your first choice, 2 for your second choice and so on. Images of each room are available on the room rentals page. WF1 - Traditional classroom, maximum 38 participants- None -1st Choice2nd Choice3rd Choice4th Choice5th Choice WF2 - Traditional classroom, maximum 24 participants- None -1st Choice2nd Choice3rd Choice4th Choice5th Choice WF2 - Computer classroom, maximum 24 participants- None -1st Choice2nd Choice3rd Choice4th Choice5th Choice WF3 - Traditional classroom, maximum 38 participants- None -1st Choice2nd Choice3rd Choice4th Choice5th Choice WF3 - Computer classroom, maximum 38 participants- None -1st Choice2nd Choice3rd Choice4th Choice5th Choice WF1 & 2 - Convertible classroom with laptops 52- None -1st Choice2nd Choice3rd Choice4th Choice5th Choice WF1 & 2 - Convertible classroom without laptops, maximum 52 participants- None -1st Choice2nd Choice3rd Choice4th Choice5th Choice NCC - Convertible classroom without laptops, maximum 17 participant- None -1st Choice2nd Choice3rd Choice4th Choice5th Choice NCC - Convertible classroom with laptops, maximum 17 participant- None -1st Choice2nd Choice3rd Choice4th Choice5th Choice NCC/NT1 – Conference room, maximum 63 participants- None -1st Choice2nd Choice3rd Choice4th Choice5th Choice NT1 - Traditional classroom, maximum 37 participants- None -1st Choice2nd Choice3rd Choice4th Choice5th Choice 4. TECHNICAL NEEDS Technical Needs Instructions Please list any technical requests (i.e. software installations, website shortcuts, special equipment) and if the requested item needs to be installed on student or facilitator workstations. Technical Needs Description Remote Participants Note: A $100 fee will be added to the room rental rate to provide technical support to remote participants. 5. PAYMENT INFORMATION Price Table 2023 Rates Computer (half day/full day) $900 Traditional (full day) $600 Traditional (half day) $300 Conference Room (full day) $1500 Payment Notice Note: Payments will not be processed until the room rental is confirmed. No fee will be charged if you cancel two weeks prior to the rental date. Please take a moment to review our cancellation and other policies on the our policies page. CAN(required)* IC Authorizing Official(required)* IC Authorizing Official Title(required)* IC Funds Authorizer(required)* IC Funds Authorizer Title(required)* Leave this field blank