P.O. Box 730
Seward, Alaska 99664
Office Phone
FAX Number
University of Alaska Fairbanks

School of Fisheries and Ocean Sciences

(907) 224-5261
(907) 224-3392
Seward Marine Center
K.M. RAE PUBLIC EDUCATION BUILDING USER REQUEST FORM
125 THIRD AVENUE
Name/Organization:
Person to be in charge:
Billing Address and/or UA Account Number:
Contact Phone Number:
Title:
Email address: ______________________________________
AUDITORIUM
Which of the following would you like to use:
Podium
Overhead Projector
LCD Projector
DVD Projector
Microphone
Chairs
Other needs:
Approximate number of participants:
Will the program be open to the public:  NO
Will there be an admission charge:
 NO
Dates needed:
Purpose:
 YES
 YES
Coffee Pot
Kitchenette
Tables
How much:
Hours:
VIDEO CONFERENCING
Event or course name:
Instructor Name: __________________________________________
Start date:
End Date:
Weekdays needed:  Mon  Tue  Wed  Thur  Fri
Times:
OFFICE
Request Type:  Graduate Student  Faculty  Employee  Visitor
Occupant Name:
Email address: ____________________________________________
Occupancy Dates:
Primary use of office (writing, interviews, research):
IT Needs:  Internet Access  Computer  Printer  Telephone
FEES
Building Rental--$200.00/day
Use of kitchenette—additional fee (with auditorium rental)
Fees are subject to change without notice.
Requester’s Signature
SMC Coordinator’s Signature
Seward Marine Center Approval
Date
Date
Date
Revised: 11/21/2014