Printable Room Reservation Request

Name:
Affiliation:	---SELECT--- individual UCSC graduate student(s) Graduate Student Association GSC Governance Board ---IF YOU SELECT ANY OF THE FOLLOWING, DESCRIBE IN COMMENTS--- UCSC student organization for graduate students only UCSC student organization for undergraduate and graduate students UCSC student organization for undergraduate students only for graduate and undergraduate students UCSC staff UCSC faculty UCSC alum(s) UCSC undergraduate student(s) no UCSC affiliation
Purpose:	---SELECT--- office hours private studying academic talk or presentation ---IF YOU SELECT ANY OF THE FOLLOWING, DESCRIBE IN COMMENTS--- other academic purpose meeting party non-academic talk or presentation workshop other
Alcohol:	no alcohol will be present during the reserved time(s) appropriate forms (available from GSC staff) have been or will be submitted to Student Affairs allowing alcohol to be served at this event, and arrangements will be made to serve equally prominent non-alcoholic beverages, as well as food
Food:	NO food will be present during the reserved time(s) YES, food will be present at this event. All spills must be promptly report to staff on duty. After the event all food waste will be taken out to the dumpster and not thrown in the waste P APER baskets.
Attendance:
Email:	(CATS address preferred)
Phone:
Room:	---SELECT--- #204, large study room #206, small study room #208, small study room
Frequency:	---SELECT--- one-time for date below weekly for the month, starting on date below weekly for this quarter, starting on date below ---IF YOU SELECT ANY OF THE FOLLOWING, DESCRIBE IN COMMENTS--- monthly other
(Start) date:	---SELECT--- September October November December January February March Apr May June July August ---SELECT--- 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st 2005 2006
Time:	---SELECT--- 9:00am 9:30am 10:00am 10:30am 11:00am 11:30am noon 12:30pm 1:00pm 1:30pm 2:00pm 2:30pm 3:00pm 3:30pm 4:00pm 4:30pm other (describe in comments)
Duration:	---SELECT--- 30 minutes 1 hour 1.5 hours 2 hours ---ONLY GRADUATE STUDENT ORGANIZATIONS CAN SELECT MORE THAN 2 HOURS 2.5 hours 3 hours 3.5 hours 4 hours other (describe in comments)

Please use this space to enter any comments regarding your reservation, or any information that you could not accurately enter above.

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