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Online room reservation form (non-affiliated programs)
Conference room reservation form for non-affiliated programs
Submitted by
Sharee
on Apr 12, 2018
1. Program/Department
*
2. Meeting/Event name
*
3. Contact person
*
Person responsible for the use and maintenance of conference room
4. Contact phone
*
5. Contact e-mail
*
6. CHC Conference Room - UCSF Laurel Heights campus
*
Select conference room
272 - seating capacity 12 people
366 - seating capacity 8-10 people
376 - seating capacity 25-35 people
382 - seating capacity 20 people
384 - seating capacity 10-18 people
7. A/V required in room?
*
No
Yes
8. Open to alternate conference room?
*
No
Yes
9. Recurring Event?
*
If yes, list additional dates in the notes section below (requests up to 6 months only)
No
Yes
10. Month
*
Please choose month from drop list
January
February
March
April
May
June
July
August
September
October
November
December
11. Day of month
*
Please select day of the month from drop list
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
12. Year
*
Please select which year
2020
13. Start time
*
Please select start time from drop down
Hour
7:00 AM
7:30 AM
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 NOON
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
6:30 PM
14. End time
*
Please select end time from drop down
Hour
7:30 AM
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 NOON
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
6:30 PM
15. Conference room related notes
If this is a recurring event (see question 6), please list additional dates (requests up to 6 months only)
**Carefully review form before submitting**