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Global Hub Space Request Form
Submitted by
MIB130
on August 8, 2019 - 12:25pm
1
Start
2
Preview
3
Complete
First Name
*
Last Name
*
Department or Affiliated Group
Email
*
Phone
Event/Program Title
*
Event/Program Description (please be sure to indicate the international and/or global focus)
*
Date
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
2019
2020
2021
2022
2023
Year
Set-Up Time
*
Hour
1
2
3
4
5
6
7
8
9
10
11
12
Hour
:
Minute
00
30
Minute
am
pm
Start Time
*
Hour
1
2
3
4
5
6
7
8
9
10
11
12
Hour
:
Minute
00
30
Minute
am
pm
End Time
*
Hour
1
2
3
4
5
6
7
8
9
10
11
12
Hour
:
Minute
00
30
Minute
am
pm
Is this a recurring event?
*
Yes
No
Please indicate recurrence schedule.
Weekly
Biweekly
Monthly
Per Semester
Other
Explain other recurrence schedule.
Is this a multi-day event?
*
Yes
No
Please indicate the subsequent dates and times after the first day.
Space Requested
*
Conversation Table
Island
Living Room
Nook A
Nook B
Approximate # of Attendees
*
1-3
3-5
5-10
10-12
Additional Notes
I have read and agree to the Hub's Event Policies & Procedures.
*
Yes
I understand that my request is pending until I submit justification for an in-person gathering and my request is approved by senior staff.
*
Yes
Preview Submission