Room Reservation Request Form : Health Sciences Library - UNC-Chapel Hill

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Room Reservation Request Form

Please complete all the following information and press "Submit Reservation Request". Submit room reservation requests at least two (2) business days in advance of the date needed. You will receive an email confirmation of your reservation request.
Required fields are indicated by the * asterisk.

Person requesting this reservation * First Name: * Last Name: *PID: [9 digits, no hyphen]
* Email Address: * Phone:
* Affiliation:
Other Affiliation:
* Department:
*Status:
Other Status:

Person who will use the room *This section is required; please complete one of the two options below that applies.

Same as Requestor information above.

OR:

I am requesting this reservation on behalf of someone else. Please provide the information below for the person who will be using the room.

First Name: Last Name:
Email Address: Phone:
Affiliation:
Other Affiliation:
Department:
Status:
Other Status:

Event Information * Name & Brief Description of Event/Activity: [Maximum 65 characters]

* Number of Anticipated Attendees:

* Date of Event/Activity: Month: Date: Year:

* Time of Event: From: Until:

Recurring Events Only Is this a reservation for a recurring event? No Yes
If yes, please indicate your desired schedule for this reservation below.
NOTE: Recurring events may be scheduled for up to one (1) year from initial meeting date only.
Study rooms may NOT be reserved for recurring dates.

How often? [e.g. weekly, monthly, etc.]
For what time period beyond event date above? [include end date mm/dd/yyyy]

AV/Software/Special Requests

Please Note the following:

Orientations are required to use AV equipment in the conference and classrooms. Contact classroom support at 962-6702 for an orientation before the event.
Orientations are required to use the Display Wall, Access Grid and other equipment in the Collaboration Center. Contact the Collaboration Center Staff to schedule a technology orientation prior to live use/event.
Special requests require a two weeks advanced notice. Special software requests also require license/educational use permission

Food service in rooms

Will food be provided for this event? Yes No
Please note that there is a $75 fee for meetings or events held in conference room 527 that involve food. For more information, please refer to the Room Scheduling and Use Guidelines.

Access Grid Video Conferencing [Collaboration Center Only]	Display Wall [Collaboration Center Only]
Document Camera	DVD Player
Long Distance Phone Conference Call Connection	Mac [Media Design Studio Only]
Microphone	PC [Media Design Studio Only]
Plasma Screen	Smart Board [Collaboration Center Only]
VCR	Video Conferencing
Video Projector	White Board
Other Please use this box to specify needed software, addition AV equipment or to ask for a specific room:

*Room Selection

	Conference Room	more information
	Classroom	more information
	Group Study Room Study rooms may be reserved at least two (2) business days in advance for small groups, but not on a recurring basis.	more information
	Media Design Studio	more information
	Collaboration Center	more information