Shepherd University | Student Center Room Request Form

Name of Event

Date of Event (Required)

Event Start Time (Required)

Event End Time (Required)

Name of Organization or Department (if applicable)

Expected Attendance (Required)

Purpose of Event- Check all that apply

Reception

Meeting

Performance

Lecture

Bowling & Billiards Party

Bowling Party

Billiards Party

Other

Requested Room(s)- Check all that apply

Games Zone

Storer Ballroom (50 person minimum)

Blue/Grey Room (25 person minimum)

Cumberland Room (25 person minimum)

Rumsey Gallery (25 person minimum)

Potomac Room

Shenandoah Room

Cacapon Room

Point of Contact Name (First and Last) (Required)

Point of Contact E-Mail (Required)

Point of Contact Phone (Required)

Point of Contact Mailing Address

Requested Room(s) Setup

U-Shape Tables

Theater/Lecture

Theater/Lecture with Head Table

Round Banquet Tables

Conference Tables

Chairs in Circle

Open Space (no tables or chairs)

Classroom with Tables and Chairs

As-Is (user accepts setup)

Additional Set up Details (Room Layout, Set-Up Time, Tear-Down Time, etc.)

Will you be serving food?

Yes

No

Do you need AV equipment?

Yes

No

Are you charging admission, fundraising, selling tickets, or collecting monetary donations?

Yes

No

I certify that this event will comply with all University policies and the Student Handbook. (Required)

I Agree

I Do Not Agree

Future Students

Current Students

Alumni & Friends

Faculty & Staff

Visitors

Student Center Room Request Form