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NCC Conference Room Reservation Form
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* Indicates required question
Requestor's Name
*
Your answer
Requestor's Phone Number
*
Your answer
Requestor's Email Address
*
Your answer
Department (Example: 4-H, MG, CDS, etc.)
*
Your answer
Meeting Purpose
*
Please include web links to any materials which reside online related to your program.
Your answer
Check room(s)
*
Room 132A (Carpeted side – 65 people max)
Room 132B (Kitchen side – 50 people max)
Room 144 (Small room in back hallway)
Required
Enter additional room # here if you need extra space
Your answer
Date Requested (1st choice)
*
MM
/
DD
/
YYYY
Date Requested (2nd choice)
MM
/
DD
/
YYYY
Equipment Requested
Your answer
Conference Room Times
Doors are locked at 5:00 pm on weekdays and all day/night on weekends. If you would like the doors to be unlocked for access to your meeting during off-hours, please indicate the specific times below in the appropriate fields.
Start time for Conference Room
*
Time
:
AM
PM
End time for Conference Room
*
Time
:
AM
PM
Event start time
*
Time
:
AM
PM
Event end time
*
Time
:
AM
PM
Parking Needs
*
Choose
Daily Parking Passes
Event Parking (15+ cars)
Parking Purpose Code
Your answer
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