JMEC Room Request Form – Student Groups

Name Name * First Last
Email *
Student Group *
Date of Event Date of Event * / MM / DD YYYY
Would you consider an alternate date if your first choice is not available? *

Would you consider an alternate date if your first choice is not available? Yes No
Second choice date Second choice date / MM / DD YYYY
Start Time of Event Start Time of Event * : HH MM AM/PM
End Time of Event End Time of Event * : HH MM AM/PM
Approximately how many people do you expect at the event? *
Please provide an agenda for your event. *
What type of AV will you need for the event? *

What type of AV will you need for the event? Standard (projector, TV Screens, Podium) More than the Standard AV (which will cost your group additional money)
What type of additional AV do you need?
Will you have food? Please be reminded that the only food allowed is a takeaway option. *

Will you have food? Please be reminded that the only food allowed is a takeaway option. Yes, it is a take away option at the end of the session No, there will be no food
Do you need any additional furniture than what is usually provided in the room? *

Do you need any additional furniture than what is usually provided in the room? Yes No
Detail what additional furniture you will need.
What is your first choice for type of room? *

What is your first choice for type of room? Law Auditorium JMEC Atrium Large Classroom (divider open) Regular Classroom Study Room Ultrasound Study Room Conference Room Multiple rooms + Law Aud Multiple rooms - not including Law Aud
If you are requesting an event with multiple rooms please detail what type of rooms and how many of each you require.
What is your second choice for type of room? *

What is your second choice for type of room? Law Auditorium JMEC Atrium Large Classroom (divider open) Regular Classroom Study Room Ultrasound Study Room Conference Room I would rather change the date than the room selection.
Please provide your group's budget code. If you do not have one please put N/A. *
Is there anything else that you would like to add?