GENERAL ROOM RESERVATION - REQUEST FORM

Submit Issue to NKAcademicAffairs

* Mandatory fields are highlighted and preceded by an asterisk

*Title of Event: Priority:

Reservation Information

Please allow a minimum of two (2) business days for completion of all requests. We will try to accommodate requests as soon as possible within the constraints of the current workload. Requests with larger scopes may require more than two (2) days to complete.

Reccurence (If Applicable)

*Reccurrence Pattern:

*Reccurrence Days:

MondayTuesdayWednesdayThursdayFridaySaturdaySunday

*Start Date of Event:

Mon Day Year

*End Date of Event:

Mon Day Year

*Start Time of Event:

*End Time of Event:

*Preferred Building & Room:

Please review the Facilities List
for room capacities and technologies.

*Technology Needs:
(Hold CTRL to select
multiples)

If a special set-up is needed, please submit Maintenance Work Request to Business Office. For Media Support, please submit a Media Request.

*Estimated Attendance:

Food and Drink:

Special Meeting Needs/Dates:

Contact Information

*Last Name:		*First Name:
*Email Address:		*Phone: (Example: 724-334-6081)

Do you need tables/chairs/etc. for your event? Do you need to pick up or have technology delivered & setup for your event? If so, please submit the appropriate requests after you submit your room reservation request.

All request forms can be found at http://nk.psu.edu/assistance

I agree to submit any other applicable Maintenance & Media Services requests for my event (if needed). Additionally, I understand there is a 5 day notice requirement for Maintenance and Media Service Requests.

Click the SUBMIT button to send your Request. There is no need to reply to this email. You will receive an email confirmation if your Request is successfully registered. Please contact krc5016@psu.edu if you experience problems using this form. Be sure to click the submit button only once. A separate Issue will be entered each time the button is clicked.