Sections

Office of Information Systems

Navigation

You are here: Home > Services > Room Reservations/ Scheduling > Reservation Request Form

Document Actions

Reservation Request Form

Primary Contact

Primary Contact Name (Required)

Telephone (Required)

(xxx) xxx-xxxx

E-Mail Address (Required)

Professor/Instructor

Professor/Instructor Name

Telephone

(xxx) xxx-xxxx

E-Mail Address

Number of Rooms Requested (Required)

Number of Participants per Room (Required)

Do you need a specific room/lab? If so, please list:

This is a(n): (Required)

Event
Course

Event or Course name/number (Required)

Approx. Set-up time (if applicable)

/ /

Start Date/Time (Required)

/ /

End Date/Time (Required)

/ /

Approx. Clean-up time (if applicable)

/ /

Is this a recurring event? If so, please list additional dates:

Check Equipment needs:

PC/LCD Projector

Overhead Projector

Bringing Own Laptop

PowerPoint

Smartboard Interactive Whiteboard (MBRB G202)

Sympodium (MBRB 2204)

Video Overflow

VHS

Tables

Quantity of tables, if applicable:

If more than 3 tables are needed, please contact Facility Services (http://www.fac.unc.edu)

Other:

I will need A/V support at these times: (Required)

You may select more than one by holding down Ctrl+clicking.

Alternative Operating System

I plan to use a Mac.

By checking the above box, I acknowledge that it is my responsibility to contact OIS at (919) 843-8884 to ensure the adaptability of the presenters' and event coordinators' materials to a Windows-based system.

Please note that room reservation does not include the surrounding areas such as lobby areas and Atrium. You must request such space when reserving a room if you are planning on utilizing these spaces.
All rooms must be left clean and in proper order. Food and beverages are absolutely prohibited in all of Bondurant Hall.
Please note: The deadline for room reservation requests for Fall 2010 courses is July 1, 2010. The deadline for Spring 2011 requests is November 1, 2010.
View our website for more details on reserving rooms: http://www.med.unc.edu/ois/services/room-reservations
For questions, please call the Scheduling Coordinator at (919) 843-8884.

Sections

Navigation

Document Actions

Reservation Request Form

Please notify OIS immediately of any changes or cancellations.

Site-wide Actions

Personal tools