Reservation Request - JPCC Meeting Rooms
The J.P. Coughlin Center (JPCC) provides meeting spaces available to government and nonprofit entities at no charge.  Meeting rooms are for educational, informational, and civic purposes.  Meeting rooms may not be used by individuals, groups, or businesses for profit or personal use.  Groups using the JPCC meeting rooms are expected to comply with the policies outlined in the links below.  Failure to comply with meeting room policy will result in the loss of privileges to use the rooms.

Meeting Room Reservations are coordinated by the Extension Winnebago County Office. Please visit our website for all information about meeting rooms including:
  • Policies/Procedures
  • Calendars/Availability
  • Room Layouts & Other Information
Sign in to Google to save your progress. Learn more
Email *
Title of Your Meeting/Workshop: *
Used for public display on the website calendar and hallway display screen in the building.
Date of Your Meeting/Workshop: *
Meeting rooms are available between the hours of 7:00am—11:00pm, 7 days/week. Meetings scheduled outside regular building hours (M-F 8:00am – 4:30pm, excluding holidays) require a key check-out from the Extension office. Keys may be checked out 1—3 days in advance during the business hours of M-F 8:00am—4:30pm, excluding holidays.

MM
/
DD
/
YYYY
RECURRING MEETINGS: If you have multiple dates or a recurring meeting, please list here:
(i.e. 3rd Wednesday of the Month from 3:30-5:30 or list of dates 1/10, 4/12, 9/3)
RESERVATION Start Time (include set-up time): *
Time
:
MEETING Start Time (for participants/display board):
You can skip if MEETING Start Time is the same as RESERVATION Start Time.
Time
:
MEETING End Time (for participants/display board):
You can skip if MEETING End Time is the same as RESERVATION End Time.
Time
:
RESERVATION End time (include clean-up time): *
Time
:
Estimated Attendance at Your Meeting: *
Room(s) Requested: *
All of our meeting rooms include A/V hook-ups to either a projector/sound system or a big screen tv (depending on size of the room). Rooms also have white boards and flip-chart easels available. A break room with refrigerator, microwave, sink and soda/snack vending machine is available to all building users. Some rooms include sinks. Room B has a refrigerator, stove/oven, microwave and sink in the room. 

Please see our website for room diagrams & technology: https://winnebago.extension.wisc.edu/meeting-rooms/room-styleseating-available/
Required
Supplies/Technology Needed (choose all that apply): *
Required
Special Considerations (Optional):
Please let us know if any of the following apply to your meeting. This is for awareness of building staff only. Groups are responsible for bringing any extra supplies and providing all clean-up)
Comments:
Contact information - returning users can choose themselves from the drop down, new users will be directed to the next section to submit their contact info. *
Note: Everyone will be a new user the first time you submit a meeting room reservation using our new google form for 2023. As we confirm reservations we will add you to a dropdown list so that you do not have to enter your contact information every time you make a reservation.
Would you like us to add your email to Extension - Winnebago County newsletter list?
(This is a once-a-month email sent out with updates regarding Extension programs, articles and much more!)
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of UW-Madison Google Workspace. Report Abuse
Google Forms