2023-2024 Room Reservation Request Form
Thank you for your interest in reserving space in African Student Programs for your event. Please review the following guidelines prior to completing this form. The form needs to be completed at least two week prior to event need. Anything submitted after may not be approved depending on availability so please plan accordingly. The entire Center is not available during regular operating hours. Programs after hours can happen from 5p until 7:45p on Monday to Friday.

By signing and completing this document I agree to abide by the UCR Principles of Community commits to equitable treatment of all students, faculty, and staff

• I accept full responsibility for my group in this meeting space.

• I will reimburse the African Student Programs for the cost of repairs if the space or
any equipment/furniture is damaged while checked out in my name/my group’s name.

• I have witnessed the physical space. The space is clean and ready for occupancy.

• I understand that my/my group’s abuse of the space may result in disciplinary action
and the inability to reserve space in the ASP in the future.

• I understand that all charges that are accrued as a result of violations of these policies
will be sent to the Registrar’s Office and will prevent me from registering for classes,
from obtaining diploma/transcript(s), and/or graduating until paid in full. (REGISTERED
STUDENTS)

• I understand that I am not to perform any illegal activities in reserved space.

• I understand that if I perform any illegal activities with this space, I will be subject to the
disciplinary rules and regulations of UCR and perhaps, those of the City of Riverside;
which may result in the possibility of arrest.

• I do hereby verify that I have read and understand the Use and Liability Agreement as it
pertains to the loan of African Student Programs.

• I agree to abide by this and related policy and procedures.
Email *
Name of the requestor  *
Email *
Organization Type *
Name of Organization *
Room Requested *
Equipment Needs *
Event Name *
Estimated Attendance *
Date of the Event *
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Start Time of Event *
Time
:
Ending Time of Event *
Time
:
We are pleased to share our facilities with those serving the same mission. Please briefly describe how your reserving group will be specifically benefiting the Black Scholar community at UC-Riverside or in the Riverside area. *
Questions or concerns?
Please sign your name. *
A copy of your responses will be emailed to .
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