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MD Program Interest Group Room Booking Request Form

(This question is mandatory)
Student/Group Info
Date of Event
Open the date time chooser

Format: mm-dd-yyyy

(This question is mandatory)
Start Time of Event
Please be clear and specify AM or PM
(This question is mandatory)
End Time of Event
Please be clear and specify AM or PM
(This question is mandatory)
Building Preference:
Number of Attendees at each site:
For any site(s) not involved in the event, you may leave them blank.
Technologies needed:
Sites Participating in the Videoconference

PLEASE NOTE: You need to book at least 1 week (5 business days) in advance to ensure your VC will be processed. This will guarantee IT support staff can be scheduled for VC setup, otherwise support for the event cannot be guaranteed. No last minute requests can be arranged.

NRC Contact Info
A name and email of a participating student must be provided, or the room will not be booked. Answers of "TBA or TBD" will not be processed.
WRC Contact Info
A name and email of a participating student must be provided, or the room will not be booked. Answers of "TBA or TBD" will not be processed.
Comments
(This question is mandatory)
Is this a booking change?
(This question is mandatory)
Booking Confirmation Number:
This is the number given to you when you first received confirmation of your booking.
(This question is mandatory)
Furniture Setup Required:
Location/Room #:
Furniture Required:
Please specify a payment option:

Please note that for IG events held on weekends, housekeeping and room charges may apply and the student group will be responsible for payment through FHS room bookings

NOTE: Bookings and furniture set up cannot be directly charged to FHS research accounts. Requests submitted using a research account will not be processed. (ie: Accounts beginning with 8)
(This question is mandatory)
Account #:
If furniture setup is required, an account # must be provided.