First Name*:
Middle Name:
Last/Family Name*:

Ext/Day Phone*:
Mobile/Other Phone:
E-Mail*:
Department
Name of Event*:

Building *		Select a Building to start Campus Center Carroll Apartments Chapel Cuvilly Hall Early Learning Center Gavin Hall Gleason Gym Grounds JB-Hall Kane Apartments Koret Field Library New Hall - East New Hall - West Oaks Quad Ralston Hall Ralston Hall Annex Ralston Hall Music Ext. St. Joseph Hall St. Mary's Hall Student Affairs Tabard Inn Taube Theatre Weigand Wilke Apartments
Room/Location*
Actual START Date*
Actual Start Time*		Select Time 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30 5:00 5:30 6:00 6:30 7:00 7:30 8:00 8:30 9:00 9:30 10:00 10:30 11:00 11:30 12:00 12:30 AM PM
Actual ENDING Date*
Actual Ending Time*		Select Time 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30 5:00 5:30 6:00 6:30 7:00 7:30 8:00 8:30 9:00 9:30 10:00 10:30 11:00 11:30 12:00 12:30 AM PM

Video:
	TV-VCR for Classroom Playback VHS Camera Production Package DVD Player
Projectors:
	LCD Projector (If you have a Mac, you must bring your own VGA-adapter) 35mm Slide Projector and Tray Projector Screen Overhead Projector
Audio:
	PA Sound System - Ralston Hall Ballroom PA Sound System - Taube Center PA Sound System - Portable CD Player Microphone - Wireless Lavalier (clip-on) Microphone - Wireless (only with Portable PA)
Laptop Computer(s):
	PC Laptop Mac Laptop Internet Needed CD-ROM Needed DVD-ROM Needed

Comments / Additional Information: