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Special Event Space Request

Contact Information

Name: *

Phone Number: *

Email Address: *

Campus Building: *

Room Number: *

Sponsoring Organization:

(other than UMSON)

Event Description

Event Date: *

Time

Set-up:

Begin: *

End: *

Second Event Date

Event Date:

Time

Set-up:

Begin:

End:

Event Title: *

Description of Event/Meeting:

Expected Number of Attendees: *

Reservation Type: *

(meeting, training, luncheon, etc.)

Expected Audience Demographic: *

Campus-wide

School of Nursing, Medicine, Law, Social Work, Pharmacy, Dentistry

UM Administration

Invitation Only

General Public

Other

(check all that apply)

Are you serving any food or drink?: *

Yes

Is the event catered?: *

Yes

Do you require an area for registration?: *

Yes

Audio/Visual Requirements

All rooms are equipped with a computer with Internet access and projector/screen.

Number of Presenters:

Number of PowerPoint Presentations:

Panel Discussion?:

Yes

Number of Panelists:

Please specify any other anticipated AV equipment requirements:

Facility Equipment

Number of Tables:

Number of Chairs:

Please specify any other equipment needs:

Specific Room Requests

Requested room(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 15-20)

Lobby Area

Other (specify)

Classrooms:

W202

W208

259

304

307

450

460

470

580

Comments:

* Denotes required field

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