Space Requisition Application Form

Please be sure to fill out ALL of the information in this form. Failure to do so will result in delays in processing.

Space Requested

Space Information (if applicable):

Contact Information
Name of Requestor:
Phone Number:
Department/Group Name:
Email of Requestor:

Event Information
Name of Event:
Expected Attendance:
Date(s) of Event (MM/DD/YYYY):
Event Start*:
Event End*:
*Please be sure to include set up and clean up times in your request

Set Up Needs
Theater Style
Conference Style
Empty
Additional Comments about Set-up Needs

Audio/Visual Needs (Palladium Multi-Purpose Room (MPR) Only)
LCD Projector with laptop hook-up** (You must provide your own laptop)
DVD Player**
TV/VCR**
Microphone(s)**
CD Player**
Cassette Deck**
**If you choose to request these items, please note that these items will be in a closet at the front of the MPR, which will be left open for your event. It will be the On-site Coordinator's responsibility to know how to work the equipment, and to also make sure it is not tampered with. There are specific guidelines that should be followed when utilizing the AV equipment in the MPR. It is suggested to the user to bring a printed copy of the Palladium Policies and Procedures, which outlines how to use the equipment. If you would like a five-minute overview of how to use the AV equipment in person please provide four dates/times for when you are available during the 10 am - 4 pm business hours within the next two weeks:

Please review the entire form before submitting. You must complete all portions of this form with exception to A/V needs.

After pressing "Submit" please wait 24-72 business hours for a response from the hall in which you have requested the space. If you have questions and wish to contact that hall directly you may visit the Residence Halls section of our website for staff contact information.