Bienville Event Form
All persons requesting building use should contact Ms. Marcia Wells via email at mwells@ulm.edu for room availability PRIOR to submitting this form. Student Organizations must obtain faculty advisor approval PRIOR to submitting this form. Form should be completed no less then 1 week (7 days) prior to the event. A confirmation email will be sent to the event coordinator once the event has been approved.

NOTE: Laptops are not provided by Technical Services. These should be provided by the individual.

Event Coordinator: *
Your answer
Event Coordinator's Email Address: *
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Supervising Faculty Member: *
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Faculty Member's Email Address: *
Your answer
Faculty Member Approval Received? *
Event Date: *
MM
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DD
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YYYY
Event: *
Your answer
Event Description: *
Your answer
Room Requested: *
Room must be approved and assigned by Ms. Marcia Wells.
Your answer
Event Start Time: *
Your answer
Event End Time: *
Your answer
Number of Attendees: *
Your answer
Distance Connections Needed: *
Will this event involve the public visiting our building? *
Special Equipment, check all that apply:
Clarification of special equipment needs:
(Such as number of tables, diagram of requested set up or any other specific needs)
Your answer
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