Event: * Contact Person: * Telephone Number: * Email Address: * Single Day EventUse this section for a single day event only. If your event is multiple days, please expand the Multiple Day Event section below. Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20162017201820192020 Time Needed For Setup - None -30 Minutes 1 Hour1 Hour, 30 Minutes 2 HoursMore - Add to comments Start Time Hour Hour123456789101112 : Minute Minute00153045 am pm End Time Hour Hour123456789101112 : Minute Minute00153045 am pm Time Needed For Tear Down - None -30 Minutes 1 Hour1 Hour, 30 Minutes 2 HoursMore - Add to comments Multiple Day Event Event Dates, Plus Start and End Times Event Details Building and Room Number: * Is I.T. Support Needed? * Yes No NOTE: A IT Request Form must be submitted in addition to this room request form if IT assistance is required. Is Security Needed? * Yes No Is Hospitality Needed? * Yes No Is Maintenance Needed? * Yes No NOTE: A Maintenance Request form must be submitted in addition to this room request form if maintenance assistance is required. Is Publicity Support Needed? * Yes No NOTE: Follow up by submitting the Faculty News Form or by contacting Liz Izenas at 724-983-2906. Do you want this event on the public campus calendar? * Yes No Is this a public event? * Yes No Event Title * Provide a short title for the request. Event Description * Provide a brief description about the event for the campus calendar. Please be sure to include contact information. Who is the audience for this event? * The Public The Campus Community Current Students Additional Comments or Needs: Please add any information that may be helpful in fulfilling this request. Note: - Smoking is not permitted in any university building. - Visitors must park in a student parking lot. - Non-university groups are responsible for their own setups. - Rooms used must be left in same condition as found prior to use.
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