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

Informational Tabling

Bowling & Billiards Party (NOT AVAILABLE)

Bowling Party (NOT AVAILABLE)

Billiards Party (NOT AVAILABLE)

Other

Requested Room(s)- Check all that apply

Games Zone (NOT AVAILABLE)

Storer Ballroom (32 COVID Occupancy Limit)

Blue/Grey Room (13 COVID Occupancy Limit)

Cumberland Room (13 COVID Occupancy Limit)

Rumsey Gallery (NOT AVAILABLE)

Potomac Room (3 COVID Occupancy Limit)

Shenandoah Room (2 COVID Occupancy Limit)

Cacapon Room (1 COVID Occupancy Limit)

Information Table (1 COVID Occupancy Limit)

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.)

Campus Catering Being Use?

Yes

No

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

Yes

No

I certify that this event will comply with all policy guidelines (https://www.shepherd.edu/covid-19) created by the Shepherd University Campus Health Task Force. (Required)

I Agree

I Do Not Agree

Future Students

Current Students

Alumni & Friends

Faculty & Staff

Visitors

Student Center Room Request Form