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 *

MonthJanFebMarAprMayJunJulAugSepOctNovDec Month

Day12345678910111213141516171819202122232425262728293031 Day

Year20182019202020212022 Year

Set-Up Time *

Hour123456789101112 Hour

:

Minute0030 Minute

am

pm

Start Time *

Hour123456789101112 Hour

:

Minute0030 Minute

am

pm

End Time *

Hour123456789101112 Hour

:

Minute0030 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