Revised September 2019
ROOM REQUEST
Phone (661) 722-6451 FAX (661) 722-6452
r Paperwork attached r Approved by phone rApproved by e-mail
For IMC Use
Notations
I hereby acknowledge that I will be held responsible for damage or unnecessary abuse of school equipment or media resulting from the use of said items. I agree to abide by and
enforce the rules and regulations of the Antelope Valley Community College District governing the use of equipment and media.
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Antelope
Valley
College
r BE 118
r BE 132
r Room use only
r Room and installed
equipment
r Videoconference
r Webinar
r Teleconference
(The 3 above services
require attaching connection
information)
Date of request Department/Group reserving room Event date
Time event takes place Purpose or name of event
to
r a.m.
r p.m.
r a.m.
r p.m.
Print name of requester Signature Extension
BE132
Structured for a classroom atmosphere and
allows for computer use at each station. The
furniture is modular and allows for a variety
of classroom congurations. The room seats
24 at tables and an additional 6 chairs are
available without desk access. Equipped
with a ceiling mounted LCD projector and
videoconferencing.
BE118
Setup in a mini-theater format, the smaller,
more intimate setting of the two rooms with
swing-away desktop chairs. The room seats
20 and is ideal for workshops that can
function with dimmer lighting. Equipped
with a ceiling mounted LCD projector.
Special Instructions
Additional Equipment
Needs
r Document Camera
r Dry Erase Easel (small)
r Dry Erase Easel (large)
r Display Easel
r Other ________________
Room Logistics
(No food or drink allowed in rooms except bottled water)
