University Center www.uccs.edu/uc phone: (719) 255-3450 Fax: (719) 255-3230 Email: events@uccs.edu Heller Center Academic Class Reservation Request Form Please declare any special activity that may need approval from Public Safety, Facilities or Heller Center Director. Do not move furniture, attach materials, or decorate the Heller Center without permission. During the academic year, the Heller Center prioritizes academic classes Monday-Thursdays until 4pm. Event requests made during this period will be held tentatively until after the first day of class each semester. Save this form and submit to events@uccs.edu Non-academic related Department meetings, retreats and receptions should fill out the Event Request Form. External rental information contact; UCCS Conference Services- 719.255.4445 or confserv@uccs.edu Reservation Customer 1st Choice Class Date Reoccurring Class Department Course Code Set-up Time Class Start Time Class End Time Number of Students Contact Name Contact Number Email Are you inviting off-campus visitors? Heller Center Locations Main House (20-40 guests) Studio (5-10 guests) Guest Atrium (10 guests) Outdoor Lawn (50-100 guests) Special Requests/Program Proposal ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Furniture and Audio Visual Equipment The Main House is setup in a conference table to seat 15 people. Additional tables, chairs, Flat Panel TV, small speakers, podium and AV cart are kept in the adjacent storage room for your convenience. All listed equipment is part of the Heller Center inventory and can be used free of charge. Equipment not listed here can be arranged for an additional fee. Reservation Notes Please submit form to the University Center Event Scheduling Office no later than seven (7) days in advance of your event, as additional approval from the Heller Center Faculty Director may be required. Requests received after that may not be accommodated. Submission or this form does NOT guarantee availability. You will receive an email confirmation when your space is confirmed, be sure to review this confirmation and reply with any necessary changes University Center www.uccs.edu/uc phone: (719) 255-3450 Fax: (719) 255-3230 Email: events@uccs.edu