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CHSE Room Reservation Request
Please complete the following form to submit a request for a conference room or classroom. All fields must be completed.
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* Indicates required question
Your Name
*
Your answer
Faculty member responsible for room
*
Your answer
Email
*
Your answer
Date Needed
*
MM
/
DD
/
YYYY
Start Time (if applicable, please include setup time)
*
Time
:
AM
PM
End Time (If applicable, please include breakdown time)
*
Time
:
AM
PM
Purpose
*
Your answer
Number of attendees
*
Your answer
Is Technology Needed?
*
Yes
No
Additional Comments
Your answer
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