TLC Space Request
Thank you for your interest in using the Teaching and Learning Center for your needs. This request form is designed to assist you with determining the scope and purpose of your event so we can determine the space that best fit your needs. Please complete this form thoroughly.

You will receive a response within 2 business days of submission. Please note that all spaces are subject to availability.

Event Name/Title *
Your answer
Contact Person Name *
Your answer
College/Department/Office *
Your answer
Email *
Your answer
UTHSC Phone Number *
Your answer
Primary Purpose of the Event *
Select Event Date *
MM
/
DD
/
YYYY
*Additional Dates
Only use if ALL OTHER LOGISTICS (times, purpose, resource needs, etc.) REMAIN IDENTICAL.
Your answer
Event start time *
Please account for any set-up that may be required
Time
:
Event end time *
Please account for any break-down that may be required
Time
:
Number of Attendees *
Will catering or light refreshments be provided? *
Please adhere to the University Policy for catering.
Technical/Resource Requirements. Select all that may apply. *
Required
Any Additional Comments or Requests?
Your answer
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