Humanities Conference Room Reservation Form
Email address *
Event Name *
Your answer
Department *
Your answer
Event Date *
MM
/
DD
/
YYYY
Additional Dates
Please list all recurring dates in mm/dd/yyyy format.
Your answer
Number of Participants *
Not to exceed room capacity.
Your answer
Select Conference Room(s) *
Please check room capacity before selecting.
Required
Note:
Humanities 2-Room 359 is now prioritized for Humanities Division mobile laptop lab use – reserve at https://humanities.ucsc.edu/about/divisional-services/computing/cartform-embed.html
How will your group set the room up? *
NOTE: Reserving Group is responsible for changing furniture placement, as well as returning furniture to original room configuration.
Will you be serving food at your event? *
Catering Info
Who will be catering? Please provide name and contact info.
Your answer
Set-Up Time *
We will unlock the room at this time. Please allow a minimum of 30 minutes before event start time to accommodate tech set-up, catering, etc.
Time
:
Event Start Time *
Time
:
Event End Time *
Time
:
Clean-Up Time *
Time needed to reset/clean up room and allow for catering to pick up materials. Please note, we will charge for rooms that are not cleaned up.
Time
:
Please list any additional information about your reservation:
If you've selected multiple rooms, please list your preference. If you need multiple rooms, please list why (ex: We would like to reserve room 202 and 210 because we will be having a lecture in room 210 and will serve food in room 202.)
Your answer
Event Coordinator Name *
Your answer
Event Coordinator Phone Number *
Your answer
Event Coordinator E-mail Address *
Your answer
*
I understand that the Event Coordinator is responsible for ensuring the room is cleaned up and reset to its original configuration after the event. There are cleaning supplies located in the conference rooms. *All trash and recycling must be removed after the event and bins relined.* Please return the tables and chairs to the original configuration (map is located on the wall) and close all windows and doors. If Humanities Academic Service staff are not available, please contact Humanities Facilities Coordinator, Tony Grant (tegrant@ucsc.edu or 831-428-1733). Key drop-off is outside ASC HUM 1.
Required
Contact Person for Event
If same as Event Coordinator, type "see above"
Your answer
Contact Person Phone Number
If same as Event Coordinator, type "see above"
Your answer
Contact Person E-mail
If same as Event Coordinator, type "see above"
Your answer
FOAPAL *
There is no charge to reserve a conference room but we require a FOAPAL in case we need to charge for any trash or recycling left in room or damaged furniture and/or equipment.
Your answer
Financial Contact Name
If same as Event Coordinator, type "see above"
Your answer
Financial Contact Phone Number
If same as Event Coordinator, type "see above"
Your answer
Financial Contact E-mail
If same as Event Coordinator, type "see above"
Your answer
Events after 4:30PM or on weekends/holidays require a key checkout. *
Events: Monday - Friday 8:00AM - 4:30PM will not require a key check out. Our staff will unlock the door during the "set-up" time and lock up after the clean-up time indicated.
Required
A copy of your responses will be emailed to the address you provided.
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