Conference Room or Classroom Reservation

In-House Use (rev Aug 2010)

Please complete entire form. To fill out this form: Click your mouse into the box next to a field name and then begin typing. To move from field to field on the form, use the TAB key. To check a box, click on the box.

Today’s Date: Specific Name of Event:
Estimated attendance: If applicable: Course Name: CRN#
In this section list one date or multiple dates if the time needed is the same for all dates. If the event meets weekly, enter the day of the week and the beginning and ending dates:
Time: begin a.m. p.m. end a.m. p.m.
In this section list dates needed if the times are different for each date:
Date: Time: begin a.m. p.m. end a.m. p.m.
Date: Time: begin a.m. p.m. end a.m. p.m.
Date: Time: begin a.m. p.m. end a.m. p.m.
Date: Time: begin a.m. p.m. end a.m. p.m.
If a set-up time and/or clean-up time is needed, please specify below:
Set-up Date: Set-up Time: a.m. p.m.
Clean-up Time: a.m. p.m.
*Complete set-up form (available in the Form Depot) if you need custodial, A/V, or technology assistance.
Who is attending event? Check all that apply:
MCC and/or Community College System faculty/staff
Students and/or community/business/education groups
State of CT (non-community college system) personnel
Are you co-sponsoring this event with an outside group? Yes No If yes, name of group(s):
Will food or beverages be served? Yes No
Number of rooms requested: Seating capacity needed for each room:
Are you requesting a particular building and/or room(s): Yes No If yes, complete next section.
AST GPA LOWE LRC Village Room letter and number(s)
Furniture needed: Conference table Tables/chairs Tablet arm desks Computer stations
Other (specify):
Person Using Room: User’s Banner ID (required):
Phone: E-mail Address: Department/Division:
Check one: Administration Faculty Staff Student
Person submitting request (if different from person using room):
Banner ID: Phone: E-mail Address:
Comments/Additional Information:

When this form is completed, e-mail to

FOR OFFICE USE ONLY
Request: Approved Denied Banner ECRN: Date processed:
Assigned Room(s):
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