Conference Room Registration Form
* Required
Contact Information
Full name
*
Department or affiliation
*
Email address
*
Phone number
Event Information
Sponsor/s
*
ISERP gives first priority to our affiliated groups and fellows.
Title of the event
*
Day and time of the reservation
*
MM/DD/YY. Please indicate the event's beginning and end times.
Faculty organizer/s
*
Student coordinator/s
*
I would like to reserve:
*
IAB room 801
IAB room 270B
If not available, please reserve the other one
Yes
Do you require the use of ISERP's laptop (with DVD player)?
*
Yes
No
Repeating Events
Frequency
*
If an event repeats irregularly, please provide the exact dates (and times, if different than above) for which reservations are required. If there are exceptions to a regularly repeating event, please indicate that, as well.
This is a one-time reservation.
This event repeats every week.
This event repeats every other week.
This events repeats irregularly (please clarify below)
Clarify your request, as necessary: