Room Reservation Request Form for Social Science Matrix
Please fill out the form below to submit a room reservation request with the Social Science Matrix, located at 820 Barrows Hall.

Filling out this form does NOT guarantee or confirm the reservation has been made. You will receive a confirmation email within seven business days when your reservation has been finalized.

Please note that Matrix will not be taking reservations for events during June 26 - July 14, 2017 and July 31 - August 11, 2017.

EVENT ORGANIZER/ON-SITE CONTACT
Please use the fields below to provide information about the primary contact for the event. Please note that this person must be present for the entire event and will be responsible for any set-up and breakdown.
Name
Your answer
UC Berkeley Department or Organization
Your answer
Email
Your answer
Telephone Number
Your answer
If you are with a Matrix Affiliated Research Center, please select your Center from the list below
EVENT INFORMATION
Event Name
Your answer
Brief Description of Event
Please describe the purpose and topic of the event, the format (e.g. panel discussion, seminar, conference, reception, etc.), any speakers (if applicable), and how your event relates to the social sciences.
Your answer
Date of Event
Please provide us with up to FOUR possible dates for your event, listing them in order of preference with your most-preferred date listed first, and your least-preferred date listed last.
1. Date of Event (First-Choice)
MM
/
DD
/
YYYY
2. Date of Event (Second-Choice)
MM
/
DD
/
YYYY
3. Date of Event (Third Choice)
MM
/
DD
/
YYYY
4. Date of Event (Last Choice)
MM
/
DD
/
YYYY
Reservation Begin Time:
Time
:
Reservation End Time:
Time
:
Event Start Time
Time
:
Event End Time
Time
:
Please provide any additional details that you think we should know for your event
Your answer
ROOM CONFIGURATION
Matrix Seminar Room (max. capacity 16)
Matrix Conference Room (max. capacity 70)
Which Matrix room are you interested in reserving?
*If you are using the conference room, you or someone from your department is responsible for setting up the room to your preferred configuration and returning the room to its original configuration afterwards.
Expected Number of Guests
Your answer
Is this event open to the public?
Does Matrix have permission to list your event on our public event calendar and/or website?
FOOD/DRINKS
Will you be serving food/drink?
Will you be serving alcohol?
Please note that any event that serves alcohol must obtain an Alcohol Permit from UCPD. For more information on alcohol permits and requesting them, please review our space-use policies and go to the UCPD's website here: http://goo.gl/NXVciT
Do you intend to use the lobby to serve food?
Reminder: Please have guests enjoy their food in the reserved room, not in the lobby.
A/V NEEDS
Will you need a projector for slides and/or video display?
Will you require use of an assistive listening system for your event?
CHARTSTRING INFORMATION
Name of Department Account
Your answer
CHARTSTRING
Chartstring should be provided in the following format: 1-5**** - (FUND) - (DEPARTMENT) - (PROGRAM) - (CF1) - (CF2)
Your answer
MATRIX SPACE USAGE POLICY
Check box to confirm you have read the Matrix policies: http://matrix.berkeley.edu/using-space-matrix
By checking this box, I affirm that I have read the Matrix Space Usage Policies, and I agree to cover any and all additional costs related to cleaning and/or repairing damage done to the Matrix space in the course of our event.
Required
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