Facility Request forms should be submitted a minimum of 2 weeks prior to the event.
Requests take 2-3 business days to process. You will receive a confirmation once dates and times have
been reserved.
Date of Request:
Requestor:
Phone/Extension:
Department/Area:
Room Desired:
Dates Needed:
Day of Week: Mon Tue Wed Thu Fri Sat Sun
Time Requested: From: To:
Check here if this request is for the entire semester: Spring Summer Fall
Event/Meeting Name:
Purpose/Event
Description:
Expected Attendance:
Special Instructions:
Please check all additional requirements that apply:
(Note: The requestor must coordinate all needed services directly with the department(s) concerned.)
Police (parking permits, parking assist mode) Equipment: (Overhead, AV/TV Amplification)
Custodial*** Other: _______________________
***Specific/detailed set-up instructions must be accompanied by diagram. Attach additional pages as needed.
For Office Use Only
Processed D
ate:
Room Assi
gned:
VP’s Signa
ture:
Scheduler’s Signature
FACILITY REQUEST FORM
PLEASE COMPLETE THIS FORM TO REQUEST ROOM RESERVATION
Custodial Work Order*
*
If you need custodial services, you must go to the District Work Order System and enter a work order for the needed custodial services.
https://secure-www.wvm.edu/
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