Questrom Room Reservation Request Form

This form is for Questrom faculty, staff and teaching assistants to request a room for their course, department or program.

Requestor information:
Your name:*
First Last
If you are submitting this form on someone's behalf, please indicate that person's name:
Your email:*
I am a ...
Questrom department/affiliation:
Event Information:
Title of event:*
This request is for ... (please select ALL that apply)*
Please specify the course:
Exam information: (please select ALL that apply)
Date:
Do you need a room on multiple dates for this event?*
Does your event have to be on a specific date (or dates)?*
Select Date:
Please indicate the dates or date-range for your event:
Your request includes multiple dates: please answer the remaining questions for the FIRST date in the series. Then, in the Comments field below, please elaborate on the date, start/end times, anticipated attendees, and room requests for the remaining dates.
Time:
Start Time:*

: HH

MM
End time:*

: HH

MM
Room:
Number of people expected:*
Room Preference:*
lounges:
Do you need multiple rooms?
Do you have any special equipment/technology requests?
Meal Options:
Video conference?
- Yes
- No
Comments:

Date: