Counselor Education Department Room Request Form
This form is for the Lurie College Faculty and Staff ONLY.

Room requests must be submitted 2 days (at least 48 hours) prior to using the room.

** Absolutely NO FOOD OR DRINKS are allowed in SH 412 or SH 447.
** SH 331 is only reserved for Faculty and Staff Development events/meetings.

Please refer to the Ad Hoc Facilities Committee Policies for room guidelines at

Offline room descriptions can be found at

If you have any questions regarding the room reservation process, please contact your Department Admin.

Requester Name
Your answer
Date Requesting
- For classroom changes, please contact your department admin.
- For multiple room requests, please submit an additional form for each one.
Please use the following format: 01/01/2013
Your answer
In the event that the room is not available, is the date you have requested flexible?
Mark only one oval.
Time Requesting
Start Time
(Please use the following format: 10:00AM).
Your answer
End Time
(Please use the following format: 2:00PM).
Your answer
In the event that the room is not available, is the time you have requested flexible?
Request Details
Number of People Attending
Your answer
Room Requesting
Mark only one oval.
Second Choice Room
Who will be using the room?
Please check all that apply.
Reason for Room Reservation
Please be specific.
Your answer
Room Equipment
Please refer to for more information on room equipment.
Technology or Equipment Needed
Please check all that apply.
If you are requesting SH 331, please check which components of the room you would like to use.
If you are not requesting SH 331, please skip to the next question.
If you are requesting a room with SMARTboard, have you had SMARTboard training?
If you need to be trained, please set up an appointment with Sami Monsur at
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