Date Event Begins:          Date Event Ends: 

Day(s) of Week: 

Name of Group:      

Purpose: 


Contact Person:          Work Phone:          Cell Phone:  

email:           Meeting Time: Beginning:   Ending:

Number of People to be Seated:        Public is being Invited: Yes    No   If yes, review the Campus Police and Facility Services sections below.

Comments: (ie. book room weekly for the Spring Semester)

Room: Auditorium (seats 215)         CCB Conference Room (seats 16)      Lobby outside of Auditorium (30 maximum) John and Mary Lou Schwartz Conference Room (seats 12-16)           Verizon Conference Room (seats 12) Please note: The key to the Auditorium unlocks the bathrooms. Please unlock them before your meeting and lock them at the end of your meeting.

Food: Do you plan to serve refreshments as part of this activity?
*Note: Food and beverages are allowed only in the Schwartz Conference Room and the Lobby outside the Auditorium. A work order must be submitted to Facility Services for clean-up of the Schwartz Conference Room and set-up/clean-up of the Lobby outside the Auditorium.

Audiovisual: Many classrooms and meeting locations are equipped with computer projection and AV equipment, which are available for your use. If AV assistance is required for your event, please contact Media Services to discuss your needs and to schedule services.

Special Accommodations: Please contact the Disability Services staff at ext. 1403 or counseling@durhamtech.edu for assistance (wheelchair access, sign language interpreters, assistive listening device/hearing aide).

Campus Police: Room to be unlocked at: and locked at:
 Will event require parking by off-campus visitors? yes no   If yes, contact Campus Police to supply you with a temporary parking pass to send to visitors.

Facility Services: Generic special event signage for parking is available for requestor to check out and return to Facility Services.