Intercultural Affairs

Reserve Space

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Full Name*

Email Address*

Phone Number*

Organization/Department*

Date of Request*

Space Being RequestedLounge (max capacity 30) Conference Room (max capacity 16)Both

Event Name*

Event's Proposed Date*

Number of Participants Expected*

Time of Event (start and end)*

Purpose of Event or Event Details*

Advisor's Name and Email (if student organization)

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