Academic Space Request Form

Requestor's Name*

Office/Organization*

Contact Phone*

Fax

ODU E-mail Address*

Co-Sponsor (if Applicable)

Event Information

Event Name*

Date(s) of Event (If you need multiple dates for a recurring meeting or event, please enter all of them here.)*

Alternate Date(s)

Start Time*

End Time*

Building (If no preference, state no preference)*

Room (If no preference, state no preference)*

Estimated Attendance*

Type of Event*

If "Other" was selected, please specify.

Is this event a fundraiser?*

Yes

Description of Event*

By clicking submit below, I certify that I am familiar with the policies and procedures as listed at http://studentaffairs.odu.edu/osal/eventmanage/policiesprocedures.shtml for use of university facilities, that this event is consistent with the policies and procedures, that I accept the responsibility for compliance with same, and that my organization/department is responsible for any damages incurred in the facility at the time of the event.

NOTE: The entire form must be completed (use estimates as needed). This form is only a request, not a confirmation. All requests require two weeks to process. Please print this page for your records prior to clicking submit!

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Academic Space Request Form