Scheduling Request Form - School of Health Studies

Please complete all fields below. The room request cannot be processed unless all fields are completed. If you have any questions, please call 678-4871.

Name of Event
Description of Event
Event Date
Start Time
End Time
Date of Request
Requester Name
Requester Phone Number
Requester Email Address
Requested Room
# of People for Room
Available Room Features Requested
Cater Event?