Before you begin filling out this form, please take note of the following:

* The organization must submit the Room Reservation Application Policy Form to Room and
  Course Scheduling as well as Proof of Insurance to Risk Management prior to requesting a
   room.

Off Campus Room Reservation Application

Department of Risk Management & Safety

Name:
Title:
Organization Name:
Email:
Phone:
Fee Charged: Yes No
Profit Organization: Yes No

Term: Fall 2009 Winter 2010 Spring 2010
Meeting Description:
Days (e.g. MTWRFSU):

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Expected Number of People:

Start Date:
End Date:
Start Time:
End Time:

Location:

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Additional Information: (Please specify additional information here.)