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East Campus Provost

Room Request

This form must be submitted at least 48 hours (Monday-Friday) prior to the event.

* is a required field.

Your Personal Information 
* Full Name: Required
* E-mail: Required
Advisor/Group if Applicable:
* Referred by: Required
* Phone: Required
Mail Code:
   
Event Information 
* Revision: Yes     No
* Revision Type: Date      Time      Room
* Event Title: Required
* Date Of Event: Required
Purpose of Event: Required
* Room Requested:

Required

 

If you choose Rm 3-113 or Rm 5-112
you must select a setup below.
We cannot process your request
without a set up.

Alternate 1:
Alternate 2:
  Please choose an alternate room in case
the room you requested is not available.
Number of Attendees:
  If attendance changes prior to the day
of event, please email Jerry Cochran at
jcochran@valenciacc.edu or call ext. 2208
* Set Up Time: Required
* Start Time: Required
* End Time: Required
   
A/V Equipment Needed or Special Needs (check all that apply; call 2422 to confirm)
Television     Microphone Plant Operations
VCR/DVD     Camcorder Handicap Desk
LCD Projector     Masking Tape Piano
Computer w/Projector     Whiteboard/Markers    
Laptop Computer     Digital Camera Security (2000)
Software Program     Screen Security-Unlock/Lock
Boom Box     Whiteboard/Markers Reserve Parking

* I understand and accept that I am responsible for ensuring that all Valencia Community College policies, rules and regulations are adhered to by my group. I further understand that I am responsible for the following:

* Do you need a classroom with computers for all participants?
Yes      No       N/A

What software (excluding Office Suite) is required?

* Have you contacted Cabin Creek Catering (407) 582-2560?
Yes      No       N/A

Account Code (formerly GL)
PO:


* Have you called AV and ordered your AV equipment (2422 or 2419)?
Yes      No       N/A

* Have you notified College & Comm. Relations (3122) Marketing & Media Relations (1017)?
Yes      No       N/A

* Have you notified Security (2000) for special needs (IE: reserved parking, buses on campus)?
Yes      No       N/A

 
Room Configuration for Room 3-113 and Room 5-112 Only.
  • Please roll over drawings to see maximum capacity for each set up.
  • Rooms seating under 20 are all conference style only
Please check the room arrangement you require.  Add notes if necessary.  To confirm, please call Plant Operations at 2208 before your meeting.  Room set-ups are not guaranteed if there is not enough time between meetings.  Please send a separate schematic if necessary.
Chevron
U shape
  Chevron
Classroom
  Pods
Conference
Pods
Pods
  Pods
Chevron
 
Theater Style
 
       
If you need additional tables for catering or sign-in,
please state this in the comment box below.
Comments or special needs: