Request for Space - Timothy Smith Lab
Please note: All requests will be reviewed individually, and preference will be given to requests needing computer lab space over requests solely for space. Your request is not considered confirmed until you receive a confirmation from Lise Snow.

All parties utilizing the space are required to clean up after themselves and agree to follow the lab policies and guidelines.
Brief description of the course or reason for space request: *
Your answer
Course Title, if applicable:
Your answer
Course prerequisites, if applicable:
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Cost: *
Your answer
Instructor(s): *
Your answer
Anticipated # of Students / Participants: *
Room Requested: *
Please check your room preference.
Required
Is this a request to use the computers in the labs, or a request only for space? *
Please check your room preference.
Do you plan on serving food in the space? *
Please check your room preference.
Requested Start Date: *
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YYYY
Requested End Date: *
MM
/
DD
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YYYY
Start Time: *
Please allow for set-up time, if needed
Time
:
End Time: *
Please allow for clean-up time, if needed
Time
:
What day(s) are you requesting? *
Please select all that apply
Required
Telephone Number: *
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Email Address: *
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Please leave any comments or questions here:
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