ROOM RESERVATION FORM - University of Wisconsin

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REQUEST FOR RESERVATION OF BUILDING SPACE
For use in the Tainter Hall conference rooms and Furlong Gallery Atrium area.
**Please submit this form to the CAHSS Dean’s office (134B Tainter) as far in advance of the event as possible**
Title of Event:
Date and Time of Event:
Instructor/Advisor/Event Coordinator:
Area(s) Requested
Micheels Hall
 Furlong Gallery lobby/atrium
space
Date/Time
Tainter Hall
 Large conference room
 Small conference room
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Is the reservation for hours in the evening or on a weekend? Yes [ ]
No [ ]
If yes, a “Request for Weekend/Evening Building Opening” form is also required. Contact the CAHSS Dean’s
Office for more information.
Will food or beverages be served?
Yes [ ]
No [ ]
If yes, please clean up the area being used. Dispose of garbage in proper containers.
Will food or beverages be sold?
Yes [ ]
No [ ]
If yes, University policy guidelines need to be followed. Contact Jim Uhlir for permission and permit. A copy of
the food permit needs to be submitted to the CAHSS Dean’s office prior building supervisor approval.
Also, please clean up the area being used. Dispose of garbage in proper containers.
Please note: If you are rearranging furniture or bringing in additional furniture or equipment, please contact the CAHSS
Dean’s office for prior approval.
Contact Person ________________________ Phone _________Emai1_____________________________
Approval Signatures
Advisor
Department
Building Supervisor/Designee (CAHSS Dean’s Office, 134B Tainter)
Date
Date
THIS COMPLETED FORM MUST BE SUBMITTED TO THE CAHSS DEAN’S OFFICE (134B TAINTER) FOR PROCESSING
BY MONDAY NOON PRIOR TO THE EVENT FOR THE REQUEST TO BE HONORED.
Responsibilities of the advisor/event coordinator:
1.
Remain in building during the sponsored event.
2.
Return any furniture rearrangements; dispose of refuse from areas used.
3.
Review location of fire exits. If a fire alarm sounds, from a safe location call 9-911 and leave the building.
Distribution:
CAHSS Dean’s Office
Contact Person for Event (* signed copy confirms approval of event)
Custodial Services
Jim Uhlir
Dept. Chair (Area of Request)
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