Hunter Community - Room Reservation Request Form

Roosevelt HouseHunter Community - Room Reservation Request Form

Name Name * First Last
Title
Department *
Email Address *
Event Category *

Event Category Major Event (Conferences, book discussions, dinners, receptions) Other Program Meeting Other Other

Please refer to section 1 of the planning guide to select the most accurate description of your program.
Brief Event Description *
Expected Attendance *
Are you partnering with other faculty, institutions or internal or external organizations?
Funding Status (to cover internal costs and out of pocket expenses - food, etc.)

Funding Status (to cover internal costs and out of pocket expenses - food, etc.) Outside Funding Departmental Funding Roosevelt House Peluso Fund Other Other
Requested Date (First Choice) Requested Date (First Choice) * / MM / DD YYYY
Requested Date (Second Choice) Requested Date (Second Choice) / MM / DD YYYY
Requested Date (Third Choice) Requested Date (Third Choice) / MM / DD YYYY
Date Range?

If your dates are flexible (the month of May, for example), please indicate a range or month here.
Time of Day Requested: *

Time of Day Requested: Breakfast Lunch Evening Program All-Day Event Other Other
Please provide detailed information about the event, including hours and any specific A/V needs (computer, screen, microphones, etc.)
Will food be served at your event? Please provide details.
Will alcohol be served at your event? *

A liquor permit is required for all events and is the responsibility of the person organizing. (Undergraduate student clubs are not permitted.)
Other notes, comments or speci9al requests: