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Classroom Reservation Request

Use this form to make additional room requests for an academic course currently on the schedule. This form is for UMSON faculty and staff use only. External parties should use the Special Event Space Request Form.

Basic Information

Name: *

Phone Number: *

Email Address: *

Office Location: *

Department: *

Date: *

Set-up Time:

:

am

pm

Begin Time: *

:

am

pm

End Time: *

:

am

pm

Additional Date

Date:

Set-up Time:

:

am

pm

Begin Time:

:

am

pm

End Time:

:

am

pm

Purpose of Request: *

(example: seminar, special guest, breakout-session)

Number of Required Seats: *

Course-Related Request

Associated Course Number/Name:

Instructor:

Will you require breakout rooms?:

Yes

No

If so, number of rooms needed:

Will you require A/V assistance?:

Yes

No

If so, time needed:

:

am

pm

Is a phone required?:

Yes

No

Are you serving any food or drink?:

Yes

No

Meeting Room Request

Are you serving any food or drink?:

Yes

No

Will you require A/V assistance?:

Yes

No

If so, time needed:

:

am

pm

Specific Room Requests

Requested rooms(s) may not be available for reservation. Additional options are available in most cases.

Rooms:

Auditorium - Room 130 (seats 470)

Lecture Hall - Room 140 (seats 140)

Room 150 (seats 55)

Computer Teaching Theatre

Courtyard

Conference Room (seats 10-20)

Lobby Area

Other (specify)

Classrooms:

259

W202

W208

304

307

450

460

470

580

730

Comments:

Use Comments section to request additional dates for standing or recurring meetings.

* Denotes required field

Faculty & Staff

Work Order Request Form
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Room Request Procedures
- Classroom Reservation Request
- Special Event Space Request
IT Resources

Contact Information

Admissions	410-706-0501
UM Campus Line	410-706-3100
UM Hotline	410-706-8622
Public Affairs	Contact Us

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University of Maryland School of Nursing
655 West Lombard Street, Baltimore, MD 21201, USA
Main Campus Phone 410-706-3100

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University of Maryland School of Nursing
Last modified on January 17, 2012